Saint Anthony Medical Center in Rockford - Physician Assistant

Saint Anthony Medical Center - NPI 1679526628

Saint Anthony Medical Center is a Physician Assistant in Rockford, Illinois. Saint Anthony Medical Center practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Saint Anthony Medical Center is 1679526628. The last update date is 2022-07-19.

Saint Anthony Medical Center's current location address is 4423 Manchester Dr, Rockford, Illinois. You can contact this provider via phone number 8005896070 and fax number 3096835969. The mailing address for Saint Anthony Medical Center is 4423 Manchester Dr, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Saint Anthony Medical Center
Address 4423 Manchester Dr, Rockford, Illinois
Phone Number 8005896070
Fax Number 3096835969
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT,
Authorized Official Name Mcgrew L Diane
Telephone Number 3096552850

NPI Number Detail

NPI Number 1679526628
Provider Enumeration Date 2006-05-19
Last Updated Date 2022-07-19

Provider Mailing Address Detail

Address 4423 Manchester Dr
City Rockford
State Illinois (IL)
Post Code 611091655
Phone Number 8005896070
Fax Number 3096835969

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10123444 IL BLUE CROSS

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FAQs about Saint Anthony Medical Center

What is the Saint Anthony Medical Center's unique identification number?

The Saint Anthony Medical Center has been assigned the NPI (National Provider Identifier) Number 1679526628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Saint Anthony Medical Center?

The Saint Anthony Medical Center is situated at 4423 Manchester Dr, in the city of Rockford, state of IL, with the zip code 611091655.

What is the area of specialization for Saint Anthony Medical Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Saint Anthony Medical Center is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did Saint Anthony Medical Center receive its 1679526628 assignment from the Centers for Medicare & Medicaid Services?

The Saint Anthony Medical Center was assigned its 1679526628 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Saint Anthony Medical Center most recently updated?

The details pertaining to the Saint Anthony Medical Center, including its address, specialty, and other relevant information, were last refreshed on 2022-07-19.

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