Belcrest Services, LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BELCREST SERVICES, LTD

Doing business as

Proctor First Care

Practice address

2535 E Washington St
East Peoria, IL 61611-1863

Phone

(309) 694-6464

Fax

(309) 694-6032

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

BELCREST SERVICES, LTDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Todd J Baker

Title

General Manager

Phone

(309) 685-0100

Specialties & licenses 1

Addresses

Other names 1

• Proctor First Care Doing business as

Part of

Proctor First Care Mort

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1124130208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E WAR MEMORIAL DR",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616167757",
            "telephone_number": "309-685-0100",
            "fax_number": "309-685-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 E WASHINGTON ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111863",
            "telephone_number": "309-694-6464",
            "fax_number": "309-694-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELCREST SERVICES, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELCREST SERVICES, LTD",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "309-685-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctor First Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Baldock, MS, OTR/L
• Vani M Baldwin, DDS
• Stephanie Barb
• Elise J Bartman, OTR
• Lindsey K Beeney
• Marisa Renee Bethel
• Nia Beverly
• Sarah Bidne, MA, CCC-SLP
• Dana A D Bischoff, MA CSADC
• Anne Marie Blue, PHARMD

• Clinic/Center in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.