Proctor Community Hospital in Peoria - Skilled Nursing Facility
Proctor Community Hospital - NPI 1821068404
Proctor Community Hospital is a Skilled Nursing Facility in Peoria, Illinois. Proctor Community Hospital practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Proctor Community Hospital is 1821068404. The last update date is 2015-01-23.
Proctor Community Hospital's current location address is 5409 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096911000 and fax number 3096718265. The mailing address for Proctor Community Hospital is 5409 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proctor Community Hospital |
|---|---|
| Address | 5409 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096911000 |
| Fax Number | 3096718265 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Simon R. Deborah |
| Telephone Number | 3096725928 |
NPI Number Detail
| NPI Number | 1821068404 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 5409 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145016 |
| Phone Number | 3096911000 |
| Fax Number | 3096718265 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1677264 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the Proctor Community Hospital's 1821068404?
The Proctor Community Hospital's NPI (National Provider Identifier) Number is 1821068404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Proctor Community Hospital's facilities are geographically located?
The facilities of Proctor Community Hospital are physically situated at the following location: 5409 N Knoxville Ave, Peoria, IL, 616145016.
What is Proctor Community Hospital's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Proctor Community Hospital's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821068404 to Proctor Community Hospital?
The Proctor Community Hospital received its 1821068404 assignment from the Centers for Medicare & Medicaid Services on 2006-01-25.
As of what date were the details pertaining to Proctor Community Hospital last refreshed?
The information related to the Proctor Community Hospital, including its address, specialty, and other relevant details, was last updated on 2015-01-23.
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