Pine Terrace – Intellectual Disabilities Intermediate Care Facility, NPI 1306018759

Pine Terrace is a healthcare provider. based in Galesburg, Illinois. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. 43299 (IL). The NPI Number for Pine Terrace is 1306018759

Main info

Organization
Name
Pine Terrace
NPI
1306018759
Phone
(309) 343-1550
Address
285 SOUTH FARNHAM STREET
Authorized Official
MR. RONALD J WILSON AUTHORIZED AGENT
Enumeration Date
26 March 2008
Last Update Date
20 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Pine Terrace

  • RFMS, 285, South Farnham Street, Galesburg, Knox County, Illinois, 61401, United States

    GALESBURG, IL 614015323

    Phone: (309) 343-1550

    Fax: (309) 343-6318

    Type: Mailing

  • 2017, North Pine Street, Waukegan, Illinois, 60087, United States

    WAUKEGAN, IL 600874829

    Phone: (847) 662-6444

    Fax: (847) 662-6166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61401)

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Reviews

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Frequently asked questions

What federal number belongs to Pine Terrace?
The federal identifier for Pine Terrace is NPI 1306018759.
Is Pine Terrace currently active in the NPI registry?
CMS-published data lists Pine Terrace as an active registrant.
What kind of provider is Pine Terrace?
The page reflects Intellectual Disabilities Intermediate Care Facility for Pine Terrace. Clinical services aligned with this taxonomy classification.
What location metadata exists for Pine Terrace?
The page summarizes Galesburg, Illinois for Pine Terrace; expand the address list for detail.
Is Pine Terrace a real provider?
This page reflects official NPPES data for NPI 1306018759. Always confirm identity and privileges with the practice and licensing boards.

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