ACTIVATE HEALTHCARE (NPI# 1275133985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275133985 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE |
| Practice Address |
2930 Montvale Dr Ste C Springfield IL 62704-5376 |
| Mailing Address |
2157 N Damen Ave Chicago IL 60647-6916 |
| Practice Telephone | 7736973144 |
| Mailing Telephone | 7739673144 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | KARLA SPIVEY (ONBOARDING OPS ADMIN) |
| Authorized Official Telephone | 3178693164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Activate Healthcare Springfield IL Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437381 | Activate Healthcare | Clinic/Center | 1301 W Sunset Rd, Henderson, NV 89014-6607 | 2020-11-04 |
| 1205437480 | Activate Healthcare | Clinic/Center | 11011 W Charleston Blvd, Las Vegas, NV 89135-1402 | 2020-11-04 |
| 1609433705 | Activate Healthcare | Clinic/Center | 660 Vandeberg St, Baldwin, WI 54002-3251 | 2019-05-23 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1891395596 | Activate Healthcare | Clinic/Center | 4624 Progress Dr Ste A, Davenport, IA 52807-3490 | 2020-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ACTIVATE HEALTHCARE LLC | 9302 No. Meridian St. Ste. 385, Indianapolis, IN 46260 |
| Street Address |
2930 MONTVALE DR STE C |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043276256 | Community Mercy Health Partners | Clinic/Center | 601 Selma Rd, Springfield, OH 45505-2034 | 2006-04-25 |
| 1659919744 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2019-12-19 |
| 1649831140 | Balance By Chiropractic LLC | Clinic/Center | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-06-25 |
| 1528421591 | Nmn Massage & Bodywork | Clinic/Center | 225 E Sunshine St Ste 102, Springfield, MO 65807-2661 | 2016-03-29 |
| 1912368101 | Springfield Primary and Walk In Clinic Inc | Clinic/Center | 8316 Traford Ln, Unit B, Springfield, VA 22152-1654 | 2016-03-15 |
| 1952725632 | Epoch Health- Springfield, LLC | Clinic/Center | 4560 S Campbell Ave, Suite 116, Springfield, MO 65810-1720 | 2014-02-14 |
| 1922436054 | Maplegate Medical Center Inc | Clinic/Center | 20 Maple St, Suite 3, Springfield, MA 01103-1930 | 2013-10-29 |
| 1407138506 | Personal Family Care, Pllc | Clinic/Center | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2011-09-14 |
| 1043447824 | Orion Healthcare Missouri, LLC | Clinic/Center | 2740 N Mayfair Ave, Springfield, MO 65803-5084 | 2009-06-18 |
| 1821240367 | Concentra Health Services, Inc. | Clinic/Center | 140 Carando Dr., Springfield, MA 01104-3296 | 2008-10-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on ACTIVATE HEALTHCARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.