Ottawa Medical Center, PC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

9032426 Issued in IL

Legal business name

OTTAWA MEDICAL CENTER, PC

Practice address

1614 E Norris Dr
Ottawa, IL 61350-3681

Phone

(815) 431-3265

Fax

(815) 431-3259

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Jill L Lowe

Title

Accounting Clerk

Phone

(815) 431-3265

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ottawa Medical Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ottawa Medical Center, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Ottawa, IL
  • NPI 1750485355
  NPD tax ID
• Ottawa Medical Center, PC

  • Multi-Specialty Clinic/Center
  • Ottawa, IL
  • NPI 1184649410
  NPD tax ID

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992879126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-431-3265",
            "fax_number": "815-431-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-431-3265",
            "fax_number": "815-431-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTING CLERK",
        "authorized_official_telephone_number": "815-431-3265"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "IL",
            "license": "9032426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA FACILITY ID NUMBER",
            "identifier": "159632",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ottawa Elementary Schools 141
• Ottawa Friendship House
• Ottawa Friendship House Work Activity Center, Inc
• Ottawa Medical Center, P.C.
• Ottawa Medical Center, PC
• Ottawa Osteopathic Physicians, LTD.
• Ottawa Pavilion, LTD.
• Ottawa Regional Cardinal Sleep Center, LLC
• Ottawa Regional DME LLC
• Ottawa Regional Hospital & Healthcare Center

• All providers in Ottawa, IL
• Mammography Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.