THE CENTER FOR OUTPATIENT MEDICINE – NPI #1679503692
Clinic/Center

THE CENTER FOR OUTPATIENT MEDICINE is an AHC clinic located in BLOOMINGTON, IL. NPPES has assigned the NPI number 1679503692 to THE CENTER FOR OUTPATIENT MEDICINE on July 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE CENTER FOR OUTPATIENT MEDICINE” is a dba name, the actual legal business name for this organization is THE CENTER FOR ORTHOPEDIC MEDICINE, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Sep 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE CENTER FOR OUTPATIENT MEDICINE below.

NPI Profile for
THE CENTER FOR ORTHOPEDIC MEDICINE, LLC

NPI Number
1679503692
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE CENTER FOR ORTHOPEDIC MEDICINE, LLC
Doing Business As (dba): THE CENTER FOR OUTPATIENT MEDICINE
Primary location
2502 B. EAST EMPIRE STREET
BLOOMINGTON, IL 61704
Phone: (309) 662-6120 Fax: (309) 661-0060
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARAH GARDNER
BUSINESS DIRECTOR
Phone: (309) 662-6120
Updated
Certification Date
Sep 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THE CENTER FOR OUTPATIENT MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHEILDIL551
OTHERHEALTH ALLIANCEIL001937
OTHERRR MEDICAREIL490003202
OTHERUNITED HEALTHCAREIL00214363001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 IL 7002116

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.