BELCREST SERVICES, LTD (NPI# 1629180799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629180799 |
| Entity Type | Organization |
| Organization Name | BELCREST SERVICES, LTD |
| Other Organization Name | PROCTOR FIRST CARE |
| Practice Address |
621 W Jackson St Morton IL 61550-1535 |
| Mailing Address |
1120 E War Memorial Dr Peoria Heights IL 61616-7757 |
| Practice Telephone | 3092634343 |
| Practice Fax Number | 3092631363 |
| Mailing Telephone | 3096850100 |
| Mailing Fax Number | 3096850172 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | MS. DIANE E KURTZ (ADMIN ASSISTANT) |
| Authorized Official Telephone | 3096850100 |
| Is Organization Subpart | Y |
| Parent Organization Name | BELCREST SERVICES, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Proctor First Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750493805 | Belcrest Services, Ltd | Clinic/Center | 3915 Barring Trce, Peoria, IL 61615-2500 | 2006-08-31 |
| 1922110089 | Belcrest Services, Ltd | Clinic/Center | 9118 N Lindbergh Dr, Peoria, IL 61615-1422 | 2006-08-31 |
| 1124130208 | Belcrest Services, Ltd | Clinic/Center | 2535 E Washington St, East Peoria, IL 61611-1863 | 2006-08-31 |
| 1245275312 | Belcrest Services, Ltd | Clinic/Center | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-06-20 |
| Street Address |
621 W JACKSON ST |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002048 | Breanna Regguinti | Nurse Practitioner | 621 W Jackson St, Morton, IL 61550-1535 | 2017-09-20 |
| 1205935848 | Matthew A Stetter | Family Medicine | 621 W Jackson St, Morton, IL 61550 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942722368 | Visiting Doctors Network Inc. | Clinic/Center | 618 W Jackson St, Morton, IL 61550-1536 | 2017-07-07 |
| 1366637258 | Jefferson Street Clinic, Sc | Clinic/Center | 107 E Jefferson Street, Morton, IL 61550-0180 | 2007-09-13 |
| 1952415432 | Lewis County Hospital District No. 1 | Clinic/Center | 531 Adams St, Morton, WA 98356 | 2006-08-19 |
| 1801156377 | Rejuv Peoria PC | Clinic/Center | 501 N Morton Ave, Morton, IL 61550-1526 | 2012-05-18 |
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| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.