Bromenn Family Health Clinic

LBN: Bromenn Healthcare Hospitals
Bromenn Family Health Clinic is an health care organization with primary practice located at 1300 Franklin Ave Suite 100, Normal IL 61761-3588. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Bromenn Healthcare Hospitals can be contacted via phone (309) 268-3761, or through Davis, Kathy O. via phone (309) 268-2410.

Contact Information

Primary practice address
1300 Franklin Ave Suite 100 Normal IL 61761-3588
Phone: (309) 268-3761
Fax: (309) 268-5620
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kathy O.
Phone: (309) 268-2410

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1396780854
LBN Legal business name Bromenn Healthcare Hospitals
DBA Doing business as Bromenn Family Health Clinic
Authorized official Davis, Kathy O.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396780854 NPPES
Illinois Other 5715390 BLUE CROSS BLUE SHIELD

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