PROCTOR COMMUNITY HOSPITAL NPI 1518490036

NPI Information

NPI: 1518490036
Provider Name: PROCTOR COMMUNITY HOSPITAL

Doing Business As: PROCTOR HOSPITAL

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5401 N KNOXVILLE AVE STE 300
PEORIA, IL
ZIP 61614
Phone: (309) 643-6104
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PROCTOR COMMUNITY HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Peoria, IL. PROCTOR COMMUNITY HOSPITAL NPI is 1518490036. The provider is registered as an organization entity type.
The provider Is Doing Business As Proctor Hospital.

The provider's business location address is:

5401 N KNOXVILLE AVE STE 300
PEORIA, IL
ZIP 61614-021
Phone: (309) 643-6104
Fax: (309) 683-6106

The provider's authorized official is Robert A Quin .
The authorized official title is Cfo and has the following contact phone number (309) 671-4893.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 2/24/2020.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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