Allyson K. Gough is a Adult Health in Mattoon, Illinois. Allyson K. Gough practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Allyson K. Gough is 1336196609. The last update date is 2018-11-27.
Allyson K. Gough's current location address is 1005 Health Center Dr Ste 201, Mattoon, Illinois. You can contact this provider via phone number 2172386055. The mailing address for Allyson K. Gough is 1005 Health Center Dr Ste 201, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allyson K. Gough |
|---|---|
| Address | 1005 Health Center Dr Ste 201, Mattoon, Illinois |
| Phone Number | 2172386055 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN, BC |
NPI Number Detail
| NPI Number | 1336196609 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2018-11-27 |
Provider Mailing Address Detail
| Address | 1005 Health Center Dr Ste 201 |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384693 |
| Phone Number | 2172386055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 209004629 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 517490 | IL | HEALTHLINK |
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What is the unique 10-digit identifier code assigned to Allyson K. Gough by the Centers for Medicare & Medicaid Services?
The Allyson K. Gough has been issued the NPI (National Provider Identifier) 1336196609 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Allyson K. Gough located?
The Allyson K. Gough is located at 1005 Health Center Dr Ste 201, Mattoon, IL 619384693.
What is Allyson K. Gough's area of expertise and its corresponding taxonomy classification?
The Allyson K. Gough's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1336196609 to Allyson K. Gough?
The Allyson K. Gough received its 1336196609 assignment from the Centers for Medicare & Medicaid Services on 2006-05-30.
When was the Allyson K. Gough's information last updated?
The Allyson K. Gough's information was last updated on 2018-11-27.
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