PC ASSOCIATES, LLC – NPI #1184717019
Clinic/Center

PC ASSOCIATES, LLC is an AHC clinic located in O'FALLON, IL. NPPES has assigned the NPI number 1184717019 to PC ASSOCIATES, LLC on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 13 years ago on Feb 19, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PC ASSOCIATES, LLC below.

NPI Profile for
PC ASSOCIATES, LLC

NPI Number
1184717019
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PC ASSOCIATES, LLC
Primary location
310 N. SEVEN HILLS ROAD
O'FALLON, IL 62269
Phone: (618) 624-7127 Fax: (618) 622-2578
Mailing address
4500 MEMORIAL DR
MEDICAL AFFAIRS CREDENTIALING DEPARTMENT
BELLEVILLE, IL 62226-5360
Phone: (618) 257-4644 Fax: (618) 257-6946
Organization Subpart
Yes - PC ASSOCIATES, LLC is subpart of another organization.
Authorized Official
JAMES DAVIS
EXECUTIVE DIRECTOR
Phone: (618) 257-4644
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.