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Contact Information

BROMENN HEALTHCARE HOSPITALS
1300 FRANKLIN AVE
SUITE 100
NORMAL, IL61761-3588
 Phone: 309-268-3761
 Fax: 309-268-5620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BROMENN HEALTHCARE HOSPITALS

NPI # 1396780854
LBN Legal business name BROMENN HEALTHCARE HOSPITALS
Authorized official KATHY DAVIS - (VP & CHIEF INFORMATION OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 10/06/2008 - About 18 years ago
Identifiers
IL Other 5715390 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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