Independent Order Of Odd Fellows in Mattoon - Skilled Nursing Facility
Independent Order Of Odd Fellows - NPI 1700877545
Independent Order Of Odd Fellows is a Skilled Nursing Facility in Mattoon, Illinois. Independent Order Of Odd Fellows practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Independent Order Of Odd Fellows is 1700877545. The last update date is 2018-01-11.
Independent Order Of Odd Fellows's current location address is 201 Lafayette Ave E, Mattoon, Illinois. You can contact this provider via phone number 2172355449 and fax number 2172350611. The mailing address for Independent Order Of Odd Fellows is 201 Lafayette Ave E, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independent Order Of Odd Fellows |
|---|---|
| Address | 201 Lafayette Ave E, Mattoon, Illinois |
| Phone Number | 2172355449 |
| Fax Number | 2172350611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VP & C |
|---|---|
| Authorized Official Name | Underwood M David |
| Telephone Number | 3098237135 |
NPI Number Detail
| NPI Number | 1700877545 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2018-01-11 |
Provider Mailing Address Detail
| Address | 201 Lafayette Ave E |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384641 |
| Phone Number | 2172355449 |
| Fax Number | 2172350611 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 10223 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identification code assigned to Independent Order Of Odd Fellows by the Centers for Medicare & Medicaid Services?
The Independent Order Of Odd Fellows has been issued the NPI (National Provider Identifier) 1700877545, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Independent Order Of Odd Fellows located?
The Independent Order Of Odd Fellows is located at 201 Lafayette Ave E, Mattoon, IL 619384641.
What is Independent Order Of Odd Fellows's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Independent Order Of Odd Fellows is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700877545 to Independent Order Of Odd Fellows?
The Centers for Medicare & Medicaid Services assigned the 1700877545 to Independent Order Of Odd Fellows on 2005-11-01.
When was the information regarding Independent Order Of Odd Fellows most recently updated?
The details pertaining to the Independent Order Of Odd Fellows, including its address, specialty, and other relevant information, were last refreshed on 2018-01-11.