Organization · Type 2 NPI

ST Mary Medical Center

Emergency Medical Services (Emergency Medicine) Physician · Galesburg, IL

NPI number 1962467670 Active

Practice location

3333 N Seminary St
Galesburg, IL 61401-1251

Fax (309) 344-9498

Mailing address

124 SW Adams St
Peoria, IL 61602-1320

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

62 other providers at this address

About NPI 1962467670

ST Mary Medical Center's National Provider Identifier is 1962467670, issued on Apr 18, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Galesburg, IL. The record was last updated on Mar 18, 2024.