NPIMap

Organization Active NPI

Presence Central and Suburban Hospitals Network

Doing business as Presence Mercy Medical Center

  • General Acute Care Hospital
  • Aurora, IL
National Provider Identifier
1265454391
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ID NUMBER 0004903 Issued in IL
Legal business name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Doing business as
Presence Mercy Medical Center
Practice address
1325 N Highland Ave
Aurora, IL 60506-1449
Phone
(630) 859-2222
Fax
(630) 859-9014
NPI assigned
Jul 25, 2006
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Richard Douglas Carter
Title
Amita Cfo
Phone
(224) 273-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ID NUMBER 0004903 IL Primary

Addresses

Primary practice location

1325 N Highland Ave
Aurora, IL 60506-1449

Mailing address

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222

Other names 1

  • Presence Mercy Medical Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1265454391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061449",
            "telephone_number": "630-859-2222",
            "fax_number": "630-859-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061449",
            "telephone_number": "630-859-2222",
            "fax_number": "630-859-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "AMITA CFO",
        "authorized_official_telephone_number": "224-273-2350"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "ID NUMBER 0004903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Mercy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presence Mercy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.