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TAYLORVILLE MEMORIAL HOSPITAL NPI 1518170729


NPI Information

NPI: 1518170729
Provider Name: TAYLORVILLE MEMORIAL HOSPITAL
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
201 E PLEASANT ST
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-3331
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TAYLORVILLE MEMORIAL HOSPITAL is a nurse anesthetist certified registered in Taylorville, IL. The provider is (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. TAYLORVILLE MEMORIAL HOSPITAL NPI is 1518170729. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 E PLEASANT ST
TAYLORVILLE, IL
ZIP 62568-562
Phone: (217) 824-3331
Fax: (217) 824-1624

The provider's authorized official is Kim Bourne .
The authorized official title is Ceo and has the following contact phone number (217) 824-3331.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 3/10/2021.


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
1207L00000XAnesthesiologyNo
2282NC0060XGeneral Acute Care HospitalCritical AccessNo
3367500000XNurse Anesthetist, Certified RegisteredYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208522OTHERILLINOISMEDICARE PART B WPS
20001115006OTHERILLINOISBLUE CROSS
3793090OTHERILLINOISMEDICARE PART B WPS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.