Organization · Type 2 NPI
Wilkinson Fountains Lease Co LLC
Point of Service · Belleville, IL
NPI number
1194920058
Active
Practice location
1201 Hartman Ln
Belleville, IL 62221-8402
Fax (618) 222-9305
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
4 other providers at this address
Other point of service providers in Belleville
About NPI 1194920058
Wilkinson Fountains Lease Co LLC's National Provider Identifier is 1194920058, issued on Jun 19, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Belleville, IL. The record was last updated on Jun 19, 2008.