EDGE MEDICAL SERVICES (NPI# 1417409400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417409400 |
Entity Type | Organization |
Organization Name | EDGE MEDICAL SERVICES |
Practice Address |
4n385 Pine Grove Ave Bensenville IL 60106-2967 |
Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
Practice Telephone | 8003484623 |
Mailing Telephone | 8003484623 |
Mailing Fax Number | 8003914146 |
Enumeration Date | 2016-10-26 |
Last Update Date | 2020-04-15 |
Authorized Official Name | VICTORIA LEE (ADMIN) |
Authorized Official Telephone | 8003484623 |
Is Organization Subpart | Y |
Parent Organization Name | EDGE MEDICAL SERVICES INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
Street Address |
4N385 PINE GROVE AVE |
City | BENSENVILLE |
State | IL |
Zip Code | 60106-2967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972857902 | Lori Beth Geils | Midwife | 4n385 Pine Grove Ave, Bensenville, IL 60106-2967 | 2012-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
1679941942 | Sarah Glawe | Physical Therapist | 460 W Irving Park Rd Ste G, Bensenville, IL 60106 | 2015-09-03 |
1235538539 | Manu Simon | Pharmacist | 871 Il 83, Bensenville, IL 60106 | 2014-08-22 |
1053619916 | Jill C. Mcmahon Dmd, PC | Dentist | 241 S Church Rd, Bensenville, IL 60106 | 2011-03-02 |
1821309055 | Monika Claire Robinett | Speech-Language Pathologist | 1000 W. Green Street, Fenton High School, Bensenville, IL 60106 | 2010-06-22 |
1245415850 | Brookfield Podiatry Center | Clinic/Center | 14 S. Addison Street, Bensenville, IL 60106 | 2008-01-02 |
1861614778 | Nancy E Baarman | Physical Therapist | 1130 Stearns Rd, Bartlett, IL 60106 | 2007-05-02 |
1013058379 | Miguel Burgos | Family Medicine | 229 W Grand Avenue, Suite Qw, Bensenville, IL 60106 | 2007-02-09 |
1033142484 | Home Medical Express Inc. | Durable Medical Equipment & Medical Supplies | 621 Il Route 83, Suite 101, Bensenville, IL 60106 | 2006-07-09 |
1275085003 | Seul Ong Hong | Pharmacist | 871 Illinois Route 83, Bensenville, IL 60106 | 2016-10-27 |
Find all providers in zip 60106 |
Taxonomy Code | 261QB0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Birthing |
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760842827 | National Birth Centers Inc | Clinic/Center | 205 W Grand Ave, Ste 108, Bensenville, IL 60106-3364 | 2016-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205433042 | Birth Center of Chicago, LLC | Clinic/Center | 3832 N Lincoln Ave, Chicago, IL 60613-3520 | 2020-10-05 |
1609351105 | Private Healthcare Facilities | Clinic/Center | 715 Austin St Apt 1e, Evanston, IL 60202-3475 | 2018-10-01 |
1952908790 | Burr Ridge Birth Center, LLC | Clinic/Center | 7000 S County Line Rd, Burr Ridge, IL 60527-6973 | 2020-10-05 |
1831617141 | Edge Medical Services | Clinic/Center | 6 Westport Ct, Bloomington, IL 61704-8233 | 2017-09-07 |
1912444274 | National Birth Centers, Inc | Clinic/Center | 520 Judson Ave, Evanston, IL 60202-3084 | 2017-01-25 |
1528438512 | Bloomington Normal Birthing Center | Clinic/Center | 6 Westport Ct, Bloomington, IL 61704-8233 | 2015-10-02 |
1548671563 | Pcc Community Wellness Center | Clinic/Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 | 2014-05-13 |
City | BENSENVILLE |
Zip Code | 60106 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.