Organization Active NPI

Unitypoint Health Junction Medical, LLC

  • Clinic/Center
  • Peoria, IL
National Provider Identifier
1265977078
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITYPOINT HEALTH JUNCTION MEDICAL, LLC
Practice address
5901 N Prospect Rd Ste 101B
Peoria, IL 61614-1395
Phone
(309) 740-4232
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Eric Rahn
Title
Director
Phone
(309) 685-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

5901 N Prospect Rd Ste 101B
Peoria, IL 61614-1395

Mailing address

5901 N Prospect Rd Ste 101B
Peoria, IL 61614-1395
Phone (309) 740-4232

National Provider Directory

National Provider Directory

Locations

5901 N Prospect Rd
Ste 101B
Peoria, IL 61614
Phone (309) 740-4232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1265977078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N PROSPECT RD STE 101B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141395",
            "telephone_number": "309-740-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N PROSPECT RD STE 101B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141395",
            "telephone_number": "309-740-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITYPOINT HEALTH JUNCTION MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-685-0100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.