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ST JOSEPH MEDICAL CENTER NPI 1871547414


NPI Information

NPI: 1871547414
Provider Name: ST JOSEPH MEDICAL CENTER

Doing Business As: OSFMG - BLOOMINGTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
302 SAINT JOSEPH DR
BLOOMINGTON, IL
ZIP 61701
Phone: (800) 589-6070
Get Directions

ST JOSEPH MEDICAL CENTER is a family medicine in Bloomington, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST JOSEPH MEDICAL CENTER NPI is 1871547414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Osfmg - Bloomington.

The provider's business location address is:

302 SAINT JOSEPH DR
BLOOMINGTON, IL
ZIP 61701-506
Phone: (800) 589-6070
Fax: (309) 683-5969

The provider's authorized official is Gerald J. Mcshane .
The authorized official title is Medical Director and has the following contact phone number (309) 655-7193.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 5/5/2010.


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
1207RS0012XInternal MedicineSleep Medicine036-092200ILLINOISNo
2208600000XSurgeryNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207R00000XInternal MedicineNo
62081P2900XPhysical Medicine & RehabilitationPain MedicineNo
7207RR0500XInternal MedicineRheumatologyNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207V00000XObstetrics & GynecologyNo
10213E00000XPodiatristNo
11207Q00000XFamily MedicineYes

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
1833100MEDICARE PINILLINOIS
2207991MEDICARE PINILLINOIS
3833120MEDICARE PINILLINOIS
4833130MEDICARE PINILLINOIS
5546380MEDICARE PINILLINOIS
6833140MEDICARE PINILLINOIS
75723443OTHERILLINOISBLUE SHIELD
8993990MEDICARE PINILLINOIS
9961850MEDICARE PINILLINOIS

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

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.