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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
502 S MORRIS AVE SUITE A |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701-4884 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 61701 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
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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.