St Mary Medical Center in Peoria - Emergency Medical Services
St Mary Medical Center - NPI 1962467670
St Mary Medical Center is a Emergency Medical Services in Peoria, Illinois. St Mary Medical Center practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for St Mary Medical Center is 1962467670. The last update date is 2022-02-19.
St Mary Medical Center's current location address is 124 Sw Adams St, Peoria, Illinois. You can contact this provider via phone number 936552850 and fax number 936554878. The mailing address for St Mary Medical Center is 124 Sw Adams St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Mary Medical Center |
|---|---|
| Address | 124 Sw Adams St, Peoria, Illinois |
| Phone Number | 936552850 |
| Fax Number | 936554878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Mcgrew L Diane |
| Telephone Number | 3096552850 |
NPI Number Detail
| NPI Number | 1962467670 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2022-02-19 |
Provider Mailing Address Detail
| Address | 124 Sw Adams St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021320 |
| Phone Number | 936552850 |
| Fax Number | 936554878 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
|
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1419785 | IL | UNITED MINE WORKERS | |
| CD1740 | IL | MEDICARE RR | |
| 4815066 | IL | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St Mary Medical Center by the Centers for Medicare & Medicaid Services?
The St Mary Medical Center has been issued the NPI (National Provider Identifier) 1962467670 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where St Mary Medical Center is geographically located?
The St Mary Medical Center is physically situated at the following location: 124 Sw Adams St, Peoria, IL, 616021320.
What is St Mary Medical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St Mary Medical Center is Emergency Medical Services, and the taxonomy code that classifies this field of practice is 207Pe0004X.
When did the St Mary Medical Center receive its 1962467670?
The St Mary Medical Center was issued its 1962467670 on 2006-04-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to St Mary Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to St Mary Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-19.
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