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General NPI Number Information
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NPI Number | 1003869967
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Entity Type | Organization
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Legal Business Name | SAINT ANTHONY MEDICAL CENTER
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 556 E GRANT HWY
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City | MARENGO
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State | IL
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Zip | 60152-3346
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Country | US
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Telephone | 800-589-6070
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Fax | 309-683-5969
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Provider Business Mailing Address
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Address Line | 124 SW ADAMS ST
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City | PEORIA
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State | IL
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Zip | 61602-1308
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Country | US
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Telephone | 309-655-2850
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Fax | 309-655-4878
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Authorized Official
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Title or Position | CEO
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Name | ROBERT C SEHRING
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Credential |
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Telephone | 309-655-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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