Organization Active NPI

Belcrest Services, LTD

Doing business as Proctor First Care

  • Clinic/Center
  • Peoria, IL
National Provider Identifier
1922110089
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BELCREST SERVICES, LTD
Doing business as
Proctor First Care
Practice address
9118 N Lindbergh Dr
Peoria, IL 61615-1422
Phone
(309) 693-3993
Fax
(309) 693-8027
NPI assigned
Aug 31, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Mrs. Diane E Kurtz
Title
Admin Assnt
Phone
(309) 685-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9118 N Lindbergh Dr
Peoria, IL 61615-1422

Mailing address

1120 E War Memorial Dr
Peoria Heights, IL 61616-7757
Phone (309) 685-0100

Other names 1

  • Proctor First Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1922110089",
    "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": "9118 N LINDBERGH DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151422",
            "telephone_number": "309-693-3993",
            "fax_number": "309-693-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELCREST SERVICES, LTD",
        "organizational_subpart": "NO",
        "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 ASSNT",
        "authorized_official_telephone_number": "309-685-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "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"
        }
    ]
}

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 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.