HSHS MEDICAL GROUP INC NPI 1316358187

NPI Information

NPI: 1316358187
Provider Name: HSHS MEDICAL GROUP INC

Doing Business As: HSHS MEDICAL GROUP FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D2084379

Address:
516 S CHESTNUT ST
WENONA, IL
ZIP 61377
Phone: (815) 853-4402
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HSHS MEDICAL GROUP INC is a rural health clinic center in Wenona, IL. HSHS MEDICAL GROUP INC NPI is 1316358187. The provider is registered as an organization entity type.
The provider Is Doing Business As Hshs Medical Group Family Medicine.

The provider's business location address is:

516 S CHESTNUT ST
WENONA, IL
ZIP 61377-526
Phone: (815) 853-4402
Fax: (815) 853-4200

The provider's authorized official is Melinda Clark .
The authorized official title is Ceo and has the following contact phone number (217) 492-9696.

The CLIA number assigned to this NPI record is 14D2084379 - other - worksite clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 5/27/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 5/5/2024

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