Belcrest Services, LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BELCREST SERVICES, LTD

Doing business as

Proctor First Care

Practice address

621 W Jackson St
Morton, IL 61550-1535

Phone

(309) 263-4343

Fax

(309) 263-1363

NPI assigned

Aug 31, 2006

Last updated

Jul 1, 2010By the provider in NPPES

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

Ms. Diane E Kurtz

Title

Admin Assistant

Phone

(309) 685-0100

Specialties & licenses 1

Addresses

Other names 1

• Proctor First Care Doing business as

Part of

Proctor First Care Mort

Locations

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": "1629180799",
    "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": "621 W JACKSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501535",
            "telephone_number": "309-263-4343",
            "fax_number": "309-263-1363"
        }
    ],
    "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": "KURTZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMIN  ASSISTANT",
        "authorized_official_telephone_number": "309-685-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctor First Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anjonette Baum
• Timothy Baysinger, PHARMD
• Robert Beach III, LCPC
• Shad Beaty
• Robert Mathew Becker, OD
• Maria Bertsche, FNP
• Bloom Therapy Studio
• Lisa Boswell, LCSW
• Seth Braker, DMD
• Stephanie Brown, MA, LCPC

• Clinic/Center in Morton, IL
• Providers in Morton, 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.