# MIDWEST MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295286045
- **Authorized official:** TRACY L BAUER (PRESIDENT/CEO)
- **Authorized official phone:** (815) 777-1340

## Contact information

- **Practice address:** 117 N MAIN ST, ELIZABETH, IL 61028-8800
- **Practice address phone:** (815) 858-2238
- **Practice address fax:** (815) 858-2239
- **Mailing address:** 1 MEDICAL CENTER DR, GALENA, IL 61036-8118
- **Mailing address phone:** (815) 777-1340
- **Mailing address fax:** (815) 777-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016