IMMANUEL HEALTH CENTER


Address: 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884
Phone: 3098247485

IMMANUEL HEALTH CENTER (NPI# 1669752960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669752960
Entity Type Organization
Organization Name IMMANUEL HEALTH CENTER
Practice Address 502 S Morris Ave
Suite A
Bloomington
IL 61701-4884
Mailing Address Po Box 3281
Bloomington
IL 61702-3281
Practice Telephone 3098247485
Enumeration Date 2011-08-18
Last Update Date 2011-08-18
Authorized Official Name DR. TRINA SCOTT (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3098247485
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 502 S MORRIS AVE
SUITE A
City BLOOMINGTON
State IL
Zip Code 61701-4884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285693630 Catholic Charities of The Diocese of Peoria Clinic/Center 502 S Morris Ave, Bloomington, IL 61701-4884 2006-03-22
1447869680 Jennifer Lauren Woodrum Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2020-07-23
1154930394 Lucas Sawisch Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2020-07-23
1467070037 Jordan Wayne Schaefer Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2020-07-10
1568973279 Jessica Wolf Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2017-10-20
1992230809 Mychele Kenney Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2017-04-28
1255885570 Ashley Langley Nurse Practitioner 502 S Morris Ave, Suite D, Bloomington, IL 61701-4884 2016-08-04
1144593088 The Center for Youth and Family Solutions, Inc Community/Behavioral Health 502 S Morris Ave, Bloomington, IL 61701 2012-02-22
1861723470 Pamala Ann Farnham Social Worker 502 S Morris Ave, Bloomington, IL 61701-4884 2010-01-21
1366579906 Stephanie Ann Barisch Counselor 502 S Morris Ave, Bloomington, IL 61701-4884 2007-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073031118 Clover Creek Medical Clinic/Center 175 North Main Street, Bloomington, ID 83223-8322 2017-09-08
1073879532 First Health Plus, Inc Clinic/Center 104 North Curry Pike, Bloomington, IN 47404 2012-04-09
1063489805 Healthspot Clinic/Center 3064 E 3rd St, Bloomington, IN 47401-5425 2006-03-01
1427569367 Wellness for Life Clinic/Center 524 N Fairview St, Bloomington, IN 47404-3774 2017-10-18
1811385925 Activate Healthcare - Monroe Clinic Clinic/Center 119 W 7th St, Bloomington, IN 47404-3926 2014-12-26
1285060947 Kellie Lyn Dunkin Clinic/Center 451 S Park Ridge Rd, Suite 101, Bloomington, IN 47401-8589 2013-09-25
1295005445 Chestnut Health System, Inc Clinic/Center 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 2012-01-05
1174706816 Central Illinois Pediatric Associates LLC Clinic/Center 2427 Maloney Dr, Bloomington, IL 61704-3750 2007-12-17
1265614242 Advacare Clinics,ltd Clinic/Center 5001 American Blvd W, Ste.945, Bloomington, MN 55437-1108 2007-11-30
1528108941 Cook Family Health Center Clinic/Center 402 N Rogers St, Bloomington, IN 47404-3740 2007-02-07
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Competitor

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City BLOOMINGTON
Zip Code 61701

Improve Information

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Dataset Information

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.

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