Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Granite City Clinic Corp

Certified Registered Nurse Anesthetist in Granite City, IL · enumerated 2005 · authorized official Gary Newsome, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003892464

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Granite City Clinic Corp

Other name <Unavail>

Practice address 2100 Madison Ave, Granite City, IL, 62040

Phone (618) 798-3000

Enumeration date Dec 19, 2005

Last updated in NPPES Jul 30, 2007

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Gary Newsome

Title Vp

Phone (615) 465-7000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Granite City Clinic Corp located?

The practice location on file with NPPES is in Granite City, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-07-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-30.