PRIME MEDICAL SERVICES LLC NPI 1306396148

NPI Information

NPI: 1306396148
Provider Name: PRIME MEDICAL SERVICES, LLC

Doing Business As: PRIME MEDICAL SERVICES

Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 828-4361
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PRIME MEDICAL SERVICES, LLC is a gerontology nurse practitioner in Bloomington, IL. PRIME MEDICAL SERVICES, LLC NPI is 1306396148. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prime Medical Services.

The provider's business location address is:

115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL
ZIP 61701-946
Phone: (309) 828-4361

The provider's authorized official is David Underwood .
The authorized official title is Exec Vp & Cfo and has the following contact phone number (309) 823-7135.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology			Yes

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

NPI Synchronization or Removal

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