St Mary Medical Center in Peoria - Nurse Anesthetist, Certified Registered

St Mary Medical Center - NPI 1982668851

St Mary Medical Center is a Nurse Anesthetist, Certified Registered in Peoria, Illinois. St Mary Medical Center practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for St Mary Medical Center is 1982668851. The last update date is 2022-02-19.

St Mary Medical Center's current location address is 124 Sw Adams St, Peoria, Illinois. You can contact this provider via phone number 3096552850 and fax number 3096554878. The mailing address for St Mary Medical Center is 124 Sw Adams St, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Mary Medical Center
Address 124 Sw Adams St, Peoria, Illinois
Phone Number 3096552850
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 1982668851
Provider Enumeration Date 2006-04-17
Last Updated Date 2022-02-19

Provider Mailing Address Detail

Address 124 Sw Adams St
City Peoria
State Illinois (IL)
Post Code 616021320
Phone Number 3096552850
Fax Number 3096554878

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1419785 IL UNITED MINE WORKERS
4815066 IL BLUE SHIELD
CD1847 IL MEDICARE RR

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FAQs about St Mary Medical Center

What is the unique identifier code issued to St Mary Medical Center by the Centers for Medicare & Medicaid Services?

The St Mary Medical Center has been assigned the NPI (National Provider Identifier) 1982668851. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the St Mary Medical Center's physical address?

The St Mary Medical Center is physically located at 124 Sw Adams St, in the city of Peoria, IL, with the postal code 616021320.

What is St Mary Medical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for St Mary Medical Center is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.

When did the St Mary Medical Center receive its 1982668851?

The St Mary Medical Center was issued its 1982668851 on 2006-04-17, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding St Mary Medical Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to St Mary Medical Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-19.

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