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GALESBURG HOME CARE CORPORATION NPI 1043223290


NPI Information

NPI: 1043223290
Provider Name: GALESBURG HOME CARE CORPORATION

Doing Business As: MIDWEST REGIONAL HOME CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7800 N SOMMER ST
SUITE 303
PEORIA, IL
ZIP 61615
Phone: (309) 693-9881
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GALESBURG HOME CARE CORPORATION is a durable medical equipment medical supplies in Peoria, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GALESBURG HOME CARE CORPORATION NPI is 1043223290. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Regional Home Care.

The provider's business location address is:

7800 N SOMMER ST
SUITE 303
PEORIA, IL
ZIP 61615-934
Phone: (309) 693-9881
Fax: (309) 693-9882

The provider's authorized official is Gary D Newsome .
The authorized official title is President and has the following contact phone number (615) 465-7000.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 4/20/2008.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies203000816ILLINOISNo
2332B00000XDurable Medical Equipment & Medical Supplies203000816ILLINOISYes

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
15743150001MEDICARE NSCILLINOIS
2=========001MEDICAIDILLINOIS

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: 4/28/2024

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