BELCREST SERVICES, LTD (NPI# 1922110089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922110089 |
| Entity Type | Organization |
| Organization Name | BELCREST SERVICES, LTD |
| Other Organization Name | PROCTOR FIRST CARE |
| Practice Address |
9118 N Lindbergh Dr Peoria IL 61615-1422 |
| Mailing Address |
1120 E War Memorial Dr Peoria Heights IL 61616-7757 |
| Practice Telephone | 3096933993 |
| Practice Fax Number | 3096938027 |
| Mailing Telephone | 3096850100 |
| Mailing Fax Number | 3096850172 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | MRS. DIANE E KURTZ (ADMIN ASSNT) |
| Authorized Official Telephone | 3096850100 |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|---|
| 1629180799 | Belcrest Services, Ltd | Clinic/Center | 621 W Jackson St, Morton, IL 61550-1535 | 2006-08-31 |
| 1750493805 | Belcrest Services, Ltd | Clinic/Center | 3915 Barring Trce, Peoria, IL 61615-2500 | 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 |
9118 N LINDBERGH DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720179773 | Prem L Bhatia | Family Medicine | 9118 N Lindbergh Dr, Peoria, IL 61615-1422 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1326608126 | E3 Fitology, LLC | Clinic/Center | 22431 N 81st Ave, Peoria, AZ 85383-2106 | 2019-06-14 |
| 1548781990 | A Plus Pulmonary Center PC | Clinic/Center | 13352 N 83rd Ave Ste A100, Peoria, AZ 85381-4158 | 2017-07-06 |
| 1265977078 | Unitypoint Health Junction Medical, LLC | Clinic/Center | 5901 N Prospect Rd Ste 101b, Peoria, IL 61614-1395 | 2017-01-03 |
| 1083020911 | Planned Parenthood of Illinois | Clinic/Center | 705 Ne Jefferson St., Peoria, IL 61603-3843 | 2014-07-11 |
| 1972811404 | Sunshine Medical Care Corp | Clinic/Center | 15943 N 77th Ave, Peoria, AZ 85382-3867 | 2010-09-17 |
| 1730417676 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 21731 N 77th Ave, Suite 1300, Peoria, AZ 85382-2109 | 2009-12-04 |
| 1396923702 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave Ste 306, Peoria, IL 61614-5021 | 2008-02-07 |
| 1750493805 | Belcrest Services, Ltd | Clinic/Center | 3915 Barring Trce, Peoria, IL 61615-2500 | 2006-08-31 |
| 1063021269 | Valley Direct Primary Care, Pllc | Clinic/Center | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2020-07-24 |
| 1457978215 | Valley Direct Primary Care, Pllc | Clinic/Center | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2020-06-28 |
| Find all providers in PEORIA | ||||
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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.