IMAGING CENTER OF SALEM, INC (NPI# 1235204322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235204322 |
Entity Type | Organization |
Organization Name | IMAGING CENTER OF SALEM, INC |
Practice Address |
1325d W Whittaker St Salem IL 62881 |
Mailing Address |
Po Box 31249 Saint Louis MO 63131-0249 |
Practice Telephone | 6185483796 |
Practice Fax Number | 6185483050 |
Mailing Telephone | 3149666070 |
Mailing Fax Number | 3149663440 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2009-01-26 |
Authorized Official Name | MRS. LU ANN BOGOLIN (BILLING MNGR) |
Authorized Official Telephone | 3149666070 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RM1200X |
Internal Medicine Specialization: Magnetic Resonance Imaging (MRI) |
IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS | 06130188 | 01 |
IL | RR MEDICARE | 470001830 | 01 |
Street Address |
1325D W WHITTAKER ST |
City | SALEM |
State | IL |
Zip Code | 62881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
Find all providers in zip 62881 |
Taxonomy Code | 207RM1200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306011846 | Imaging Center of Salem | Internal Medicine | 1325 W Whittaker St Ste D, Salem, IL 62881-2034 | 2008-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073618294 | Advanced Radiology Professionals, LLC | Internal Medicine | 1245 W Dundee Rd, Buffalo Grove, IL 60089-4009 | 2006-09-13 |
1013931377 | Open Mri of Coles County LLC | Internal Medicine | 100 Professional Plaza, Ste 1a, Mattoon, IL 61938 | 2006-07-27 |
1043472020 | Corporate Woods Open Mri | Internal Medicine | 555 Corporate Woods Pkwy, Vernon Hills, IL 60061-3111 | 2008-06-30 |
1467402131 | Vertical Plus of Hazel Crest | Internal Medicine | 3330 W 177th St, Suite 1d, Hazel Crest, IL 60429-2001 | 2006-05-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.