Penny Attaway is a Rural Health in Vandalia, Illinois. Penny Attaway practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Penny Attaway is 1528185170. The last update date is 2016-12-20.
Penny Attaway's current location address is 1404 N 5th St, Vandalia, Illinois. You can contact this provider via phone number 6182832000 and fax number 6182832002. The mailing address for Penny Attaway is 1404 N 5th St, Vandalia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penny Attaway |
|---|---|
| Address | 1404 N 5th St, Vandalia, Illinois |
| Phone Number | 6182832000 |
| Fax Number | 6182832002 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DNP |
|---|---|
| Authorized Official Name | Attaway Penny |
| Telephone Number | 6189711440 |
NPI Number Detail
| NPI Number | 1528185170 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2016-12-20 |
Provider Mailing Address Detail
| Address | 1404 N 5th St |
|---|---|
| City | Vandalia |
| State | Illinois (IL) |
| Post Code | 624711039 |
| Phone Number | 6182832000 |
| Fax Number | 6182832002 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | 209001693 |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| L040233 | IL | TRICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Penny Attaway by the Centers for Medicare & Medicaid Services?
The Penny Attaway has been issued the NPI (National Provider Identifier) 1528185170. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Penny Attaway's physical address?
The Penny Attaway is physically located at 1404 N 5Th St, in the city of Vandalia, IL, with the postal code 624711039.
What is Penny Attaway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Penny Attaway is Rural Health, and the taxonomy classification code that categorizes this area of expertise is 261Qr1300X.
When was the Penny Attaway's 1528185170 issued?
The Penny Attaway's 1528185170 was issued on 2007-03-26.
When was the Penny Attaway's information last updated?
The Penny Attaway's information was last updated on 2016-12-20.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA