ADVENTIST LAGRANGE FAMILY MEDICINE CENTER – NPI #1104953280
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ADVENTIST LAGRANGE FAMILY MEDICINE CENTER is a provider located in LA GRANGE, IL. NPPES has assigned the NPI number 1104953280 to ADVENTIST LAGRANGE FAMILY MEDICINE CENTER on February 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTIST LAGRANGE FAMILY MEDICINE CENTER” is a dba name, the actual legal business name for this organization is ADVENTIST MIDWEST HEALTH. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Apr 21, 2016. 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 ADVENTIST LAGRANGE FAMILY MEDICINE CENTER below.

NPI Profile for
ADVENTIST MIDWEST HEALTH

NPI Number
1104953280
Enumeration Date

(more than 19 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
ADVENTIST MIDWEST HEALTH
Doing Business As (dba): ADVENTIST LAGRANGE FAMILY MEDICINE CENTER
Primary location
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525-2600
Phone: (708) 245-8900 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUBY MANN
DIRECTOR OF MANAGED CARE
Phone: (630) 856-6884
Updated
Identifiers

Identifiers for ADVENTIST LAGRANGE FAMILY MEDICINE CENTER

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
OTHERBCBS1615787
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
207Q00000X
- Family Medicine (Primary)

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.