Proctor Hospital

LBN: Proctor Community Hospital
Proctor Hospital is an health care organization with primary practice located at 5409 N Knoxville Ave , Peoria IL 61614-5016. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Proctor Community Hospital can be contacted via phone (309) 691-1000, or through Simon, Deborah R. via phone (309) 672-5928.

Contact Information

Primary practice address
5409 N Knoxville Ave Peoria IL 61614-5016
Phone: (309) 691-1000
Fax: (309) 671-8265
Website:
Map and Directions
Authorized official contact:
Name: Simon, Deborah R.
Phone: (309) 672-5928

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 1677264 Illinois
Hospitals / General Acute Care Hospital 282N00000X 0001925 Illinois

Profile Details

NPI number 1033116876
LBN Legal business name Proctor Community Hospital
DBA Doing business as Proctor Hospital
Authorized official Simon, Deborah R.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 23rd, 2015 - about 10 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 1033116876 NPPES
Illinois Other 0117 BLUE CROSS

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