St Mary Medical Center in Galesburg - Pediatrics

St Mary Medical Center - NPI 1457308710

St Mary Medical Center is a Pediatrics in Galesburg, Illinois. St Mary Medical Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for St Mary Medical Center is 1457308710. The last update date is 2007-08-17.

St Mary Medical Center's current location address is 3375 N Seminary St, Galesburg, Illinois. You can contact this provider via phone number 8005896070 and fax number 3096835969. The mailing address for St Mary Medical Center is 3375 N Seminary St, Galesburg, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Mary Medical Center
Address 3375 N Seminary St, Galesburg, Illinois
Phone Number 8005896070
Fax Number 3096835969
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Mcshane J. Gerald
Credentials M.D.
Telephone Number 3096557193

NPI Number Detail

NPI Number 1457308710
Provider Enumeration Date 2006-05-30
Last Updated Date 2007-08-17

Provider Mailing Address Detail

Address 3375 N Seminary St
City Galesburg
State Illinois (IL)
Post Code 614011251
Phone Number 8005896070
Fax Number 3096835969

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4823452 IL BLUE SHIELD

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FAQs about St Mary Medical Center

What is the unique 10-digit identifier code issued to St Mary Medical Center by the Centers for Medicare & Medicaid Services?

The St Mary Medical Center has been assigned the NPI (National Provider Identifier) 1457308710 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where St Mary Medical Center's facilities are situated?

The facilities of St Mary Medical Center are physically located at the following address: 3375 N Seminary St, Galesburg, IL, 614011251.

What is St Mary Medical Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for St Mary Medical Center is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date was the 1457308710 assigned to St Mary Medical Center?

The St Mary Medical Center was issued its 1457308710 on 2006-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the St Mary Medical Center receive the assignment of its 1457308710 from the Centers for Medicare & Medicaid Services?

The St Mary Medical Center was issued its 1457308710 by the Centers for Medicare & Medicaid Services on 2006-05-30.

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