PRIME HEALTHCARE SERVICES - MONROE LLC (NPI# 1740686443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740686443 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES - MONROE LLC |
| Other Organization Name | MONROE HOSPITAL |
| Practice Address |
4011 S Monroe Med Park Blvd Bloomington IN 47403-8000 |
| Practice Telephone | 8128251111 |
| Practice Fax Number | 8128250750 |
| Mailing Telephone | 8128251111 |
| Mailing Fax Number | 8128250750 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | MRS. NANCY L. BAKEWELL (ADMINISTRATOR) |
| Authorized Official Telephone | 8128250801 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201345020A | 05 |
| Other Name | Type Code |
|---|---|
| Monroe Hospital | Doing Business As Name - Organization |
| Street Address |
4011 S MONROE MED PARK BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417482092 | Bloomington Hosptial | General Acute Care Hospital | 3630 S Mcdougal St, Bloomington, IN 47403-4675 | 2017-04-20 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1588863534 | Monroe Physicians Group | General Acute Care Hospital | 4011 S Tiwari Blvd, Bloomington, IN 47403-8000 | 2007-07-11 |
| 1184732851 | St Joseph Medical Center | General Acute Care Hospital | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-08-25 |
| 1205860335 | Indiana University Health Bloomington Inc | General Acute Care Hospital | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-07-11 |
| 1831123942 | Monroe Hospital, LLC | General Acute Care Hospital | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-4011 | 2006-07-11 |
| 1952338444 | Monroe Hospital, LLC | General Acute Care Hospital | 4011 S Tiwari Blvd, Bloomington, IN 47403 | 2006-06-28 |
| 1619916806 | St Joseph Medical Center | General Acute Care Hospital | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750924403 | Franciscan Beacon Hospital, LLC | General Acute Care Hospital | 1010 W State Road 2, La Porte, IN 46350-5465 | 2019-10-25 |
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1851833230 | St. Vincent Hospital & Health Care Center, Inc. | General Acute Care Hospital | 9613 E Us Highway 36, Avon, IN 46123-7978 | 2016-11-16 |
| 1306291265 | Teal Murphy | General Acute Care Hospital | 10701 S 400 W, Columbus, IN 47201-9339 | 2016-04-28 |
| 1497119242 | Iu Health | General Acute Care Hospital | 5707 Brockton Dr Apt 307, Indianapolis, IN 46220-5481 | 2016-04-07 |
| 1487016549 | Johnson Memorial Hospital | General Acute Care Hospital | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-03-27 |
| 1578971792 | Hendricks County Hospital | General Acute Care Hospital | 5492 N Ronald Reagan Pkwy, Brownsburg, IN 46112-5618 | 2014-07-31 |
| 1902219801 | Michael Daniel Weintraub | General Acute Care Hospital | 545 Barnhill Drive, Emerson Hall 202, Indianapolis, IN 46202-9899 | 2014-06-09 |
| 1700207800 | Hancock Regional Hospital | General Acute Care Hospital | 300 E Boyd Ave Ste 130, Greenfield, IN 46140-2818 | 2013-12-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.