Mendota Community Hospital in Peoria - Orthopaedic Surgery
Mendota Community Hospital - NPI 1407872997
Mendota Community Hospital is a Orthopaedic Surgery in Peoria, Illinois. Mendota Community Hospital practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mendota Community Hospital is 1407872997. The last update date is 2022-02-14.
Mendota Community Hospital's current location address is 124 Sw Adams St, Peoria, Illinois. You can contact this provider via phone number 936552850 and fax number 3096554878. The mailing address for Mendota Community Hospital is 124 Sw Adams St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mendota Community Hospital |
|---|---|
| Address | 124 Sw Adams St, Peoria, Illinois |
| Phone Number | 936552850 |
| Fax Number | 3096554878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Mcgrew L Diane |
| Telephone Number | 3066552850 |
NPI Number Detail
| NPI Number | 1407872997 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2022-02-14 |
Provider Mailing Address Detail
| Address | 124 Sw Adams St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021320 |
| Phone Number | 936552850 |
| Fax Number | 3096554878 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 1537 |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CI2549 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Mendota Community Hospital by the Centers for Medicare & Medicaid Services?
The Mendota Community Hospital has been issued the NPI (National Provider Identifier) 1407872997. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mendota Community Hospital is located?
The Mendota Community Hospital is situated at the following address: 124 Sw Adams St, Peoria, IL, 616021320.
Could you kindly provide the complete physical address where Mendota Community Hospital's facilities are geographically located?
The facilities of Mendota Community Hospital are physically situated at the following location: 124 Sw Adams St, Peoria, IL, 616021320.
On what date did the Centers for Medicare & Medicaid Services assign the 1407872997 to Mendota Community Hospital?
The Centers for Medicare & Medicaid Services assigned the 1407872997 to Mendota Community Hospital on 2006-07-15.
When was the information related to Mendota Community Hospital most recently updated or refreshed?
The details pertaining to the Mendota Community Hospital, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-14.