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Methodist Medical Center Of Illinois

Hospice Care, Community Based in Peoria, IL. Organization (NPI-2).

NPI number1790737385
StatusActive
Last updated in NPPESFeb 14, 2020

Details

NPI
1790737385
Entity type
Organization (NPI-2)
Legal business name
Methodist Medical Center Of Illinois
Organization subpart
Yes
Enumeration date
May 16, 2006
Certification date
Feb 14, 2020
Last updated
Feb 14, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based0001594ILYes

Practice location

221 Ne Glen Oak Ave
Peoria, IL 61636-0001

Phone 309-672-5522

Mailing address

221 Ne Glen Oak Ave
Peoria, IL 61636-0001

Authorized official

Stephen M. Cirone
Regional Mgr-Reimb/Rev Recognition
3096724813

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Based Hospice Care Agency providers in Peoria, IL

All 5 Community Based Hospice Care Agency providers in Peoria · All 5,546 providers in Peoria

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