MIDWEST MEDICAL CENTER NPI 1952409765

NPI Information

NPI: 1952409765
Provider Name: MIDWEST MEDICAL CENTER
Classification: General Acute Care Hospital - 282NC0060X
Specialization: Critical Access
Entity Type: Organization
Former Legal Business Name: GALENA STAUSS HOSPITAL
CLIA Number: 14D2300889
Address: ONE MEDICAL CENTER DRIVE
GALENA, IL
ZIP 61036
Phone: (815) 776-7274

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NPI Details

MIDWEST MEDICAL CENTER is a critical access general acute care hospital in Galena, IL. MIDWEST MEDICAL CENTER NPI is 1952409765. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Galena Stauss Hospital.

The provider's business location address is:

ONE MEDICAL CENTER DRIVE
GALENA, IL
ZIP 61036-635
Phone: (815) 776-7274

The provider's authorized official is Tracy L Bauer .
The authorized official title is Coo/cfo and has the following contact phone number (815) 776-7277.

The CLIA number assigned to this NPI record is 14D2300889 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/15/2011.

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	282NC0060X	General Acute Care Hospital	Critical Access	0005389	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14Z302	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	=========001	MEDICAID	ILLINOIS
3	141302	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	14-8511	OTHER	ILLINOIS	MEDICARE ID FOR RURAL HEALTH CLINIC FROM DEPARTMENT OF HEALTH AND HUMAN SERVICE

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: 3/30/2025

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