EFFINGHAM OPEN MRI, LLC


Address: 500 N Maple St Ste A, Effingham, IL 62401-2005
Phone: 2173476736

EFFINGHAM OPEN MRI, LLC (NPI# 1356563589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356563589
Entity Type Organization
Organization Name EFFINGHAM OPEN MRI, LLC
Other Organization Name AMERISCAN CT & MRI, LLC
Practice Address 500 N Maple St Ste A
Effingham
IL 62401-2005
Practice Telephone 2173476736
Practice Fax Number 2173475573
Mailing Telephone 2173476736
Mailing Fax Number 2173475573
Enumeration Date 2007-05-03
Last Update Date 2009-02-23
Authorized Official Name DAVID R. HORACE (MANAGER)
Authorized Official Telephone 2173476736
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ameriscan CT & MRI, LLC Doing Business As Name - Organization

Office Location

Street Address 500 N MAPLE ST STE A
City EFFINGHAM
State IL
Zip Code 62401-2005

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1194107102 Radhika Annam Internal Medicine 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 2015-06-25
1912334558 Ruben Boyajian, Md Surgery 904 Medical Park Drive, Suite 2, Effingham, IL 62401 2013-09-27
1427483502 Daniel E Czajkowski Physical Therapist 2611 S Banker St, Effingham, Il, Effingham, IL 62401 2013-09-09
1093140501 Lifetime Dental Care of Maryland, Badger, P.C. Dentist 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 2013-09-04
1689926487 Wellness Loft Inc. Counselor 408 South 4th St., Effingham, IL 62401 2012-10-04
1598011470 Patricia R. Diel Social Worker 444 S. Willow, Suite 7, Effingham, IL 62401 2012-07-30
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City EFFINGHAM
Zip Code 62401

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Dataset Information

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.

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