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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN HEALTHCARE LIMITED LIABILITY COMPANY

Active Organization

FOUNTAIN HEALTHCARE LIMITED LIABILITY COMPANY is a Family Medicine organization located in BLOOMINGTON, Illinois. NPI 1902140585 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BLOOMINGTON, IL

Registration Details

NPI Number
1902140585
Provider Type
Organization
NPI Issued
Nov 20, 2012 (13.722462340153 yrs)
Last Updated
Sep 21, 2016

Practice Information

Address
2412 E WASHINGTON ST STE 6
BLOOMINGTON, IL, 617044497
Browse IL providers · Browse ZIP 61704
Phone
3095852116
Fax
3095852152
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in BLOOMINGTON, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.