Mendota Community Hospital in Peoria - Medicare Defined Swing Bed Unit
Mendota Community Hospital - NPI 1922024843
Mendota Community Hospital is a Medicare Defined Swing Bed Unit in Peoria, Illinois. Mendota Community Hospital practices all healthcare services and medical treatments related to Medicare Defined Swing Bed Unit. The NPI Number for Mendota Community Hospital is 1922024843. 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 | 3096552850 |
NPI Number Detail
| NPI Number | 1922024843 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| 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 | Medicare Defined Swing Bed Unit |
|---|---|
| Taxonomy | 275N00000X |
| Licence No | 275N00000X |
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Definition: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
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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) 1922024843. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mendota Community Hospital?
The Mendota Community Hospital is situated at 124 Sw Adams St, in the city of Peoria, state of IL, with the zip code 616021320.
What is Mendota Community Hospital's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mendota Community Hospital's area of specialization is Medicare Defined Swing Bed Unit, and the corresponding taxonomy code that categorizes this field of practice is 275N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922024843 to Mendota Community Hospital?
The Centers for Medicare & Medicaid Services assigned the 1922024843 to Mendota Community Hospital on 2006-07-14.
As of what date were the details related to Mendota Community Hospital most recently updated or revised?
The information pertaining to Mendota Community Hospital, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-14.