PRIME MEDICAL SERVICES
NPI 1306396148
Nurse Practitioner - Gerontology in Bloomington, IL

Q: What is Prime Medical Services, LLC's NPI number?

The NPI number for Prime Medical Services, LLC is 1306396148. It was assigned to this organization in the NPPES registry on October 5, 2016. The provider is doing business as Prime Medical Services.

Q: What is Prime Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since October 05, 2016

115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701(309) 828-4361 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Prime Medical Services NPPES

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

PRIME MEDICAL SERVICES (NPI 1306396148) is a healthcare organization registered as a gerontology in Bloomington, Illinois and active in the NPI registry since October 2016. The organization lists David Underwood, Exec Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1306396148

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NamePRIME MEDICAL SERVICES, LLC

Location Address115 W JEFFERSON ST, SUITE 401Bloomington, IL 61701-3946

Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361

Phone(309) 828-4361

Organization SubpartNo

Authorized OfficialDavid UnderwoodExec Vp & Cfo · (309) 823-7135

Enumeration DateOctober 5, 2016

✔ NPI 1306396148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

115 W JEFFERSON ST, Bloomington, IL 61701

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Other Names 1

Doing Business AsPrime Medical Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

HERITAGE MANOR - LASALLE, LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

115 W JEFFERSON ST, SUITE 401
BLOOMINGTON, IL 61701

McLean County (309) 828-4361

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 Prime Medical Services, LLC's NPI number?

The NPI number for Prime Medical Services, LLC is 1306396148. It was assigned to this organization in the NPPES registry on October 5, 2016. The provider is doing business as Prime Medical Services.

Where is Prime Medical Services, LLC located?

Prime Medical Services, LLC is located at 115 W Jefferson St Suite 401, Bloomington, IL 61701. The listed phone number is (309) 828-4361.

What is Prime Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Prime Medical Services, LLC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.