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MIDWEST MEDICAL CENTER
NPI 1154619625
Clinic/Center - Rural Health in Galena, IL

Active since July 18, 2011CLIA Certified · 3 labs
1 MEDICAL CENTER DR, GALENA, IL 61036(815) 777-1340(815) 776-7274 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midwest Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST MEDICAL CENTER (NPI 1154619625) is a healthcare organization registered as a rural health in Galena, Illinois and active in the NPI registry since July 2011. The organization holds 3 active CLIA laboratory certificates and lists Tracy L Bauer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154619625
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMIDWEST MEDICAL CENTER
Location Address1 MEDICAL CENTER DRGalena, IL 61036-8118
Mailing Address1 Medical Center DrGalena, IL 61036-8118 · (815) 777-1340 · Fax (815) 776-7274
Phone(815) 777-1340
Fax(815) 776-7274
Organization SubpartNo
Authorized OfficialTracy L BauerCeo · (815) 777-1340
Enumeration DateJuly 18, 2011
✔ NPI 1154619625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1 MEDICAL CENTER DR, Galena, IL 61036
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2300889

Midwest Medical Center · Galena, IL
Active · expires Mar 17, 2028
CLIA Number14D2300889
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorPeter M. Colegrove
Laboratory Phone(815) 777-2426
Laboratory LocationMidwest Medical CenterOne Medical Center Dr - Specialty Clinic, Galena, IL 61036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 14D2321853

Midwest Medical Center · Galena, IL
Active · expires Apr 10, 2027
CLIA Number14D2321853
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorMichael J. Wells
Laboratory Phone(815) 777-6426
Laboratory LocationMidwest Medical CenterOne Medical Center Dr - Family Clinic, Galena, IL 61036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0429720

Midwest Medical Center · Galena, IL
Active · expires Sep 17, 2026
CLIA Number14D0429720
Laboratory TypeHospital
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorAndrew Vanderheyden
Laboratory Phone(815) 777-6426
Laboratory LocationMidwest Medical CenterOne Medical Center Drive, Galena, IL 61036
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL J WELLS M.D.
Family Medicine
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 776-7381
JENNIFER BERNING PT, DPT
Physical Therapist
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 777-1340
ASHLEY SUSAN SKROCKI CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 777-1340
PETER M. COLEGROVE MD
Urology
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 777-1340
LISA HACKNEY RD
Dietitian, Registered
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 777-1340
MRS. MARGARET E DITTMAR MS, FNP-BC
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 776-7381
AMANDA JEAN KRIEBS
Nurse Practitioner (Psychiatric/Mental Health)
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 777-1340
DEBBIE ANN CIHAK M.D.
Internal Medicine
1 MEDICAL CENTER DR
GALENA, IL 61036
Jo Daviess County (815) 776-7381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Medical Center's NPI number?

The NPI number for Midwest Medical Center is 1154619625. It was assigned to this organization in the NPPES registry on July 18, 2011.

Where is Midwest Medical Center located?

Midwest Medical Center is located at 1 Medical Center Dr, Galena, IL 61036. The listed phone number is (815) 777-1340.

What is Midwest Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Midwest Medical Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Midwest Medical Center was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.