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ST JOSEPH MEDICAL CENTER NPI 1881782878


NPI Information

NPI: 1881782878
Provider Name: ST JOSEPH MEDICAL CENTER

Doing Business As: HEARTCARE MIDWEST

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
1505 EASTLAND DR
SUITE 110
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-9800
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ST JOSEPH MEDICAL CENTER is an interventional cardiology internal medicine in Bloomington, IL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. ST JOSEPH MEDICAL CENTER NPI is 1881782878. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Heartcare Midwest.

The provider's business location address is:

1505 EASTLAND DR
SUITE 110
BLOOMINGTON, IL
ZIP 61701-534
Phone: (309) 663-9800

The provider's authorized official is Kenneth J. Natzke .
The authorized official title is Ceo and has the following contact phone number (309) 665-5780.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/27/2007.


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
1207RI0011XInternal MedicineInterventional CardiologyYes

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
1057-32087OTHERILLINOISBLUE CROSS BLUE SHIELD
2211036MEDICARE 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

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