PRIME CARE MEDICAL CENTER SC – NPI #1427228642
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.

PRIME CARE MEDICAL CENTER SC is a provider located in MONTGOMERY, IL. NPPES has assigned the NPI number 1427228642 to PRIME CARE MEDICAL CENTER SC on March 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 PRIME CARE MEDICAL CENTER SC below.

NPI Profile for
PRIME CARE MEDICAL CENTER SC

NPI Number
1427228642
Enumeration Date

(more than 18 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
PRIME CARE MEDICAL CENTER SC
Primary location
99 BOULDER HILL PASS
MONTGOMERY, IL 60538-1911
Phone: (630) 897-2848 Fax: (630) 897-4498
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICHOLAS TZANETAKOS
PRES OWNER
Phone: (630) 897-2848
Updated
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)
IL
207R00000X
- Internal Medicine
IL

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.