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MCLEAN COUNTY NURSING HOME NPI 1497275069


NPI Information

NPI: 1497275069
Provider Name: MCLEAN COUNTY NURSING HOME
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 14D0978731

Address:
901 N. MAIN ST
NORMAL, IL
ZIP 61761
Phone: (309) 888-5380
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MCLEAN COUNTY NURSING HOME is a non emergency medical transport van in Normal, IL. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. MCLEAN COUNTY NURSING HOME NPI is 1497275069. The provider is registered as an organization entity type.

The provider's business location address is:

901 N. MAIN ST
NORMAL, IL
ZIP 61761
Phone: (309) 888-5380
Fax: (309) 454-4594

The provider's authorized official is Cindy Wegner .
The authorized official title is Administrator and has the following contact phone number (309) 888-5380.

The CLIA number assigned to this NPI record is 14D0978731 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 7/21/2022.


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
1343900000XNon-emergency Medical Transport (VAN)ILLINOISYes

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: 5/5/2024

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