EDGE MEDICAL SERVICES (NPI# 1831617141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831617141 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES |
| Other Organization Name | BLOOMINGTON NORMAL BIRTHING CENTER |
| Practice Address |
6 Westport Ct Bloomington IL 61704-8233 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | BETHANY BROWN (ADMIN) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
40000031 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bloomington Normal Birthing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
| 1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
| 1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
| 1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
| 1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
| 1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
| 1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
| 1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
| Street Address |
6 WESTPORT CT |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-8233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780052027 | Amie K. Hernandez | Registered Nurse | 6 Westport Ct, Bloomington, IL 61704-8233 | 2015-09-03 |
| 1336758812 | Justine Sims | Advanced Practice Midwife | 6 Westport Ct, Bloomington, IL 61704-8233 | 2020-07-30 |
| 1124669015 | Bloomington Normal Birthing Center | Advanced Practice Midwife | 6 Westport Ct, Bloomington, IL 61704-8233 | 2019-10-02 |
| 1457913683 | Ashley K Jones | Advanced Practice Midwife | 6 Westport Ct, Bloomington, IL 61704-8233 | 2019-07-09 |
| 1629513965 | Amy Hill | Advanced Practice Midwife | 6 Westport Ct, Bloomington, IL 61704-8233 | 2016-12-22 |
| 1033654470 | Angie Detwiler | Advanced Practice Midwife | 6 Westport Ct, Bloomington, IL 61704-8233 | 2016-12-20 |
| 1528438512 | Bloomington Normal Birthing Center | Clinic/Center | 6 Westport Ct, Bloomington, IL 61704-8233 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528438512 | Bloomington Normal Birthing Center | Clinic/Center | 6 Westport Ct, Bloomington, IL 61704-8233 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433042 | Birth Center of Chicago, LLC | Clinic/Center | 3832 N Lincoln Ave, Chicago, IL 60613-3520 | 2020-10-05 |
| 1609351105 | Private Healthcare Facilities | Clinic/Center | 715 Austin St Apt 1e, Evanston, IL 60202-3475 | 2018-10-01 |
| 1952908790 | Burr Ridge Birth Center, LLC | Clinic/Center | 7000 S County Line Rd, Burr Ridge, IL 60527-6973 | 2020-10-05 |
| 1912444274 | National Birth Centers, Inc | Clinic/Center | 520 Judson Ave, Evanston, IL 60202-3084 | 2017-01-25 |
| 1417409400 | Edge Medical Services | Clinic/Center | 4n385 Pine Grove Ave, Bensenville, IL 60106-2967 | 2016-10-26 |
| 1760842827 | National Birth Centers Inc | Clinic/Center | 205 W Grand Ave, Ste 108, Bensenville, IL 60106-3364 | 2016-03-02 |
| 1548671563 | Pcc Community Wellness Center | Clinic/Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 | 2014-05-13 |
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on EDGE MEDICAL SERVICES.
| 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.