Active NPI
Udi 7
Doing business as Seminary Manor
- Skilled Nursing Facility
- Galesburg, IL
National Provider Identifier
1588836258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UDI 7
- Doing business as
- Seminary Manor
- Practice address
- 2345 N Seminary St
Galesburg, IL 61401 - Phone
- (309) 344-1300
- Fax
- (309) 344-2473
- NPI assigned
- Apr 2, 2008
- Last updated
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol E Hilten
- Title
- Bookkeeper
- Phone
- (309) 344-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IL | Primary |
Addresses
Primary practice location
2345 N Seminary St
Galesburg, IL 61401
Mailing address
2345 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5443 | Other | BLUE CROSS BLUE SHIELD | |
| 363114893007 | Medicaid | IL |
Other names 1
- Seminary Manor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1588836258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "61401",
"telephone_number": "309-344-1300",
"fax_number": "309-344-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "61401",
"telephone_number": "309-344-1300",
"fax_number": "309-344-2473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UDI 7",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "HILTEN",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "309-344-1300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5443",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363114893007",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seminary Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.