Mid America Radiology Sc in Mount Vernon - Diagnostic Radiology
Mid America Radiology Sc - NPI 1770538282
Mid America Radiology Sc is a Diagnostic Radiology in Mount Vernon, Illinois. Mid America Radiology Sc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mid America Radiology Sc is 1770538282. The last update date is 2021-03-15.
Mid America Radiology Sc's current location address is 1 Good Samaritan Way, Mount Vernon, Illinois. You can contact this provider via phone number 6182424600. The mailing address for Mid America Radiology Sc is 1 Good Samaritan Way, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid America Radiology Sc |
|---|---|
| Address | 1 Good Samaritan Way, Mount Vernon, Illinois |
| Phone Number | 6182424600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Willis C Jerrold |
| Credentials | MD |
| Telephone Number | 6182424600 |
NPI Number Detail
| NPI Number | 1770538282 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | 1 Good Samaritan Way |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642402 |
| Phone Number | 6182424600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB6407 | IL | RR/ GOOD SAM & ST MARY'S | |
| CB6408 | IL | RR/ ST JOE & UTLAH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mid America Radiology Sc?
The Mid America Radiology Sc has been issued the NPI (National Provider Identifier) 1770538282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mid America Radiology Sc's facilities are geographically located?
The facilities of Mid America Radiology Sc are physically situated at the following location: 1 Good Samaritan Way, Mount Vernon, IL, 628642402.
What is the area of specialization for Mid America Radiology Sc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mid America Radiology Sc is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770538282 to Mid America Radiology Sc?
The Mid America Radiology Sc received its 1770538282 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the Mid America Radiology Sc's information last updated?
The Mid America Radiology Sc's information was last updated on 2021-03-15.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH