CMS-1500 Box 24J / 33a • NPI
1730678541
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
261QP2000X (CMS 70)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
2359 BROADWAY ST, PEKIN, IL, 61554-3902
✓ 9-Digit EDI 837 ZIP+4 (61554-3902)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1730678541 (MARY BACHMAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1730678541 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARY BACHMAN |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP2000X (Clinic/Center, Physical Therapy) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 2359 BROADWAY ST, PEKIN, IL, 61554-3902 |
| Practice Telephone / Fax | Tel: (309) 353-4767 |
| Administrative Mailing Address | 1454 NE WINDERMERE DR, TREMONT, IL, 61568-9782 |
| Enumeration & Last Sync | Enumerated: 2018-05-07 | CMS Record Updated: 2018-05-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in PEKIN
🔒 Are you MARY BACHMAN? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (261QP2000X)
What Does Taxonomy Code 261QP2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARY BACHMAN)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QP2000X — Clinic/Center, Physical TherapyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: IL | License: 070023498 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.