Sarah Bush Lincoln Health Center in Mattoon - Adolescent Medicine
Sarah Bush Lincoln Health Center - NPI 1952429094
Sarah Bush Lincoln Health Center is a Adolescent Medicine in Mattoon, Illinois. Sarah Bush Lincoln Health Center practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Sarah Bush Lincoln Health Center is 1952429094. The last update date is 2020-08-22.
Sarah Bush Lincoln Health Center's current location address is 200 Richmond Ave E, Mattoon, Illinois. You can contact this provider via phone number 2172355471. The mailing address for Sarah Bush Lincoln Health Center is 200 Richmond Ave E, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sarah Bush Lincoln Health Center |
|---|---|
| Address | 200 Richmond Ave E, Mattoon, Illinois |
| Phone Number | 2172355471 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Pluard Dennis |
| Telephone Number | 2172582513 |
NPI Number Detail
| NPI Number | 1952429094 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 200 Richmond Ave E |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384652 |
| Phone Number | 2172355471 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Post Comment/ Review Below
What is the Sarah Bush Lincoln Health Center's 1952429094?
The Sarah Bush Lincoln Health Center's NPI (National Provider Identifier) Number is 1952429094. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sarah Bush Lincoln Health Center's facilities are geographically located?
The facilities of Sarah Bush Lincoln Health Center are physically situated at the following location: 200 Richmond Ave E, Mattoon, IL, 619384652.
What is the Sarah Bush Lincoln Health Center's specialty and taxonomy code?
The Sarah Bush Lincoln Health Center's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Qa0000X.
On what date did Sarah Bush Lincoln Health Center receive its 1952429094 assignment from the Centers for Medicare & Medicaid Services?
The Sarah Bush Lincoln Health Center was assigned its 1952429094 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Sarah Bush Lincoln Health Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sarah Bush Lincoln Health Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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