Bloomington Meadows Gp in Bloomington - Family
Bloomington Meadows Gp - NPI 1033298120
Bloomington Meadows Gp is a Family in Bloomington, Indiana. Bloomington Meadows Gp practices all healthcare services and medical treatments related to Family. The NPI Number for Bloomington Meadows Gp is 1033298120. The last update date is 2015-04-13.
Bloomington Meadows Gp's current location address is 3600 N Prow Rd, Bloomington, Indiana. You can contact this provider via phone number 8123318000 and fax number 8123318985. The mailing address for Bloomington Meadows Gp is 3600 N Prow Rd, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bloomington Meadows Gp |
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Address | 3600 N Prow Rd, Bloomington, Indiana |
Phone Number | 8123318000 |
Fax Number | 8123318985 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR VP CFO |
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Authorized Official Name | Filton Steve |
Telephone Number | 6107683300 |
NPI Number Detail
NPI Number | 1033298120 |
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Provider Enumeration Date | 2006-11-02 |
Last Updated Date | 2015-04-13 |
Provider Mailing Address Detail
Address | 3600 N Prow Rd |
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City | Bloomington |
State | Indiana (IN) |
Post Code | 474041616 |
Phone Number | 8123318000 |
Fax Number | 8123318985 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 71000894A |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
60128000 | IN | MAGELLAN | |
107936 | IN | ANTHEM | |
200075480 | IN | -- | |
2398043 | OH | OHIO MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Bloomington Meadows Gp by the Centers for Medicare & Medicaid Services?
The Bloomington Meadows Gp has been assigned the NPI (National Provider Identifier) 1033298120. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bloomington Meadows Gp's facilities are situated?
The facilities of Bloomington Meadows Gp are physically located at the following address: 3600 N Prow Rd, Bloomington, IN, 474041616.
What is Bloomington Meadows Gp's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bloomington Meadows Gp's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date was the 1033298120 assigned to Bloomington Meadows Gp?
The Bloomington Meadows Gp was issued its 1033298120 on 2006-11-02, 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 Meadows Gp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bloomington Meadows Gp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-13.