NPIMap

St. Joseph Medical Center

A Medicare group practice based in Bloomington, IL: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 8921901620), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921901620The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
4
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20091216000335 IL Part A Provider - Hospital 1619916806
O20101103000086 IL Part A Provider - Home Health Agency 1851330203
O20110222000279 IL Part A Provider - Hospice 1013945583
O20040129001106 IL Part B Supplier - Clinic/Group Practice 1871547414

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 49

Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (2).

Sources for this page