Community Medical Center of Western Illinois Inc
Organization Active NPI Emergency Care Clinic/Center · Monmouth, IL
NPI 1023095437 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023095437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- License
- ID 000429 (IL)
- Legal business name
- COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC
- Practice address
- 1000 West Harlem Ave
Monmouth, IL 61462-1099 - Phone
- (309) 734-3141
- Fax
- (309) 734-3029
- NPI assigned
- Dec 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Brett L Stahl
- Title
- Projects Coordinator
- Phone
- (309) 734-1431
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- CMC Clinics Group Medicare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | ID 000429 | IL | Yes |
Addresses
Primary practice location
1000 West Harlem Ave
Monmouth, IL 61462-1099
Mailing address
1000 West Harlem Ave
Monmouth, IL 61462-1099
Phone (309) 734-3141
Other names
- Emergency Room Group
Other providers in Monmouth, IL
- Community Medical Center of Western Il Inc
- Community Medical Center of Western Il Inc
- Community Medical Center of Western Il Inc
- Community Medical Center of Western Il Inc
- Community Medical Center of Western Il Inc
- Community Medical Center of Western Illinois Inc
- Community Medical Center of Western Illinois Inc
- Cathy J Cook
- County of Warren
- Craig Cozadd
All providers in Monmouth, IL · Emergency Care Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.