Organization
IMMANUEL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRINA SCOTT M.D. (EXECUTIVE DIRECTOR)
(309) 824-7485
Entity
Organization
Contact information
Practice address
502 S MORRIS AVE, SUITE A, BLOOMINGTON, IL 61701-4884
(309) 824-7485
Mailing address
PO BOX 3281, BLOOMINGTON, IL 61702-3281
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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