THE CLINIC AT WALMART OPERATED BY ST. BERNARD HOSPITAL (FOUNDATION FOR EMERGENCY SERVICES) NPI 1992053029

Clinic/Center (Primary Care) in Chicago, IL

NPI 1992053029 Organization Clinic/Center Primary Care

About THE CLINIC AT WALMART OPERATED BY ST. BERNARD HOSPITAL (FOUNDATION FOR EMERGENCY SERVICES)

The Clinic At Walmart Operated By St. Bernard Hospital (foundation For Emergency Services) is a primary care provider established in Chicago, Illinois specializing in clinic/center (primary care) . The NPI number of The Clinic At Walmart Operated By St. Bernard Hospital (foundation For Emergency Services) is 1992053029 and was assigned on August 2012. The practitioner's primary taxonomy code is 261QP2300X with license number 0002303 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as The Clinic At Walmart Operated By St. Bernard Hospital. The authorized official of this NPI record is Mr. Guy Richard Alton (Chief Financial Officer)

A primary care provider (PCP) like The Clinic At Walmart Operated By St. Bernard Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1992053029

Provider NameTHE CLINIC AT WALMART OPERATED BY ST. BERNARD HOSPITAL (FOUNDATION FOR EMERGENCY SERVICES)
Provider Location Address8331 S STEWART AVE CHICAGO, IL 60620
Provider Mailing AddressPO BOX 809616 CHICAGO, IL 60680
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameTHE CLINIC AT WALMART OPERATED BY ST. BERNARD HOSPITAL
Other Name TypeDoing Business As (3)
Enumeration Date08-21-2012
Last Update Date04-25-2013


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care
License No.0002303
License StateIL

Business Address

THE CLINIC AT WALMART OPERATED BY ST. BERNARD HOSPITAL
8331 S STEWART AVE
CHICAGO, IL
ZIP 60620
Phone: (773) 420-1234
Fax: (773) 420-1233

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Mailing Address

THE CLINIC AT WALMART OPERATED BY ST. BERNARD HOSPITAL
PO BOX 809616
CHICAGO, IL
ZIP 60680
Phone: (773) 962-4073
Fax: (773) 962-9276



Authorized Official

Authorized Official NameMR. GUY RICHARD ALTON
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(773) 962-4073

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699292938 JENNIFER LIM
Individual
Pharmacist8331 S STEWART AVE
CHICAGO, IL 60620
(773) 783-0859
1023301603WALMART INC.
Organization
Pharmacy (Community/Retail Pharmacy)8331 S STEWART AVE
CHICAGO, IL 60620
(773) 783-2013
1194005645 MARK I CAGADAS PHARMD
Individual
Pharmacist8331 S STEWART AVE
CHICAGO, IL 60620
(773) 358-9000
1083255988 OLUSEGUN I ADESHOLA PHARM.D
Individual
Pharmacist8331 S STEWART AVE
CHICAGO, IL 60620
(773) 783-0859
1942800784 MIHIKA Y PATEL
Individual
Pharmacist8331 S STEWART AVE
CHICAGO, IL 60620
(773) 783-0859
1013517853 EMMANUEL ASHINZE PHARMD
Individual
Pharmacist8331 S STEWART AVE
CHICAGO, IL 60620
(773) 783-0859
1427659226WALMART INC
Organization
Technician/Technologist (Optician)8331 S STEWART AVE
CHICAGO, IL 60620
(773) 358-9004

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.