Bloomington Normal Healthcare, Llc in Normal - Ambulatory Surgical
Bloomington Normal Healthcare, Llc - NPI 1083613327
Bloomington Normal Healthcare, Llc is a Ambulatory Surgical in Normal, Illinois. Bloomington Normal Healthcare, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Bloomington Normal Healthcare, Llc is 1083613327. The last update date is 2020-08-22.
Bloomington Normal Healthcare, Llc's current location address is 2100 Fort Jesse Rd, Normal, Illinois. You can contact this provider via phone number 3098344000 and fax number 3098344007. The mailing address for Bloomington Normal Healthcare, Llc is 2100 Fort Jesse Rd, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomington Normal Healthcare, Llc |
|---|---|
| Address | 2100 Fort Jesse Rd, Normal, Illinois |
| Phone Number | 3098344000 |
| Fax Number | 3098344007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Kulb B Thomas |
| Credentials | MD |
| Telephone Number | 3098344000 |
NPI Number Detail
| NPI Number | 1083613327 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2100 Fort Jesse Rd |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617619370 |
| Phone Number | 3098344000 |
| Fax Number | 3098344007 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 7002512 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50181 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bloomington Normal Healthcare, Llc by the Centers for Medicare & Medicaid Services?
The Bloomington Normal Healthcare, Llc has been issued the NPI (National Provider Identifier) 1083613327 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bloomington Normal Healthcare, Llc is physically located?
The Bloomington Normal Healthcare, Llc is physically situated at the following address: 2100 Fort Jesse Rd, Normal, IL, 617619370.
What is the Bloomington Normal Healthcare, Llc's area of specialization and corresponding taxonomy classification?
The Bloomington Normal Healthcare, Llc's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
On what date was the 1083613327 assigned to Bloomington Normal Healthcare, Llc?
The Bloomington Normal Healthcare, Llc was issued its 1083613327 on 2005-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Bloomington Normal Healthcare, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bloomington Normal Healthcare, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.