Organization · Type 2 NPI

Granite City Illinois Hospital Company LLC

Urgent Care Clinic/Center · Glen Carbon, IL

NPI number 1417353087 Active

Practice location

4273 S State Route 159
Glen Carbon, IL 62034-3224

Mailing address

1573 Mallory Ln Ste 100
Brentwood, TN 37027-2895

Specialties and licenses

TaxonomyCodeLicense
Urgent Care Clinic/Center Primary 261QU0200XNone listed

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About NPI 1417353087

Granite City Illinois Hospital Company LLC's National Provider Identifier is 1417353087, issued on Nov 10, 2014. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 7, 2023.