Immanuel Health Center
NPI #1669752960 in Bloomington, Illinois
Provider Information
- NPI Number
- 1669752960
- Entity Type
- Organization
- Organization Name
- Immanuel Health Center
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 18, 2011
- Last Updated
- Aug 18, 2011
Practice Location
- Address
- 502 S MORRIS AVE
- Address 2
- SUITE A
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4884
- Phone
- (309) 824-7485
Authorized Official
- Name
- DR. TRINA SCOTT, M.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (309) 824-7485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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