Provider Demographics
NPI:1255788113
Name:CLIFTON HEALTH SYSTEMS, LLC
Entity type:Organization
Organization Name:CLIFTON HEALTH SYSTEMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:COLATORTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:779-216-5524
Mailing Address - Street 1:973 FEATHERSTONE RD STE 340
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-5908
Mailing Address - Country:US
Mailing Address - Phone:779-216-5522
Mailing Address - Fax:779-216-5520
Practice Address - Street 1:973 FEATHERSTONE RD STE 340
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-5908
Practice Address - Country:US
Practice Address - Phone:779-216-5522
Practice Address - Fax:779-216-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site