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SWEDISHAMERICAN HOSPITAL NPI 1619039724


NPI Information

NPI: 1619039724
Provider Name: SWEDISHAMERICAN HOSPITAL

Other Name: SAMG BROOKSIDE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1215 N ALPINE RD
ROCKFORD, IL
ZIP 61107
Phone: (815) 391-7700
Get Directions

SWEDISHAMERICAN HOSPITAL is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SWEDISHAMERICAN HOSPITAL NPI is 1619039724. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Samg Brookside.

The provider's business location address is:

1215 N ALPINE RD
ROCKFORD, IL
ZIP 61107-201
Phone: (815) 391-7700

The provider's authorized official is Don Daniels .
The authorized official title is Vp and has the following contact phone number (815) 966-2084.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========002OTHERILLINOISTRICARE
2436860MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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