MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC (NPI# 1366683252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366683252 |
| Entity Type | Organization |
| Organization Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| Other Organization Name | DR. GEORGE SALIBA |
| Practice Address |
910 S Van Buren St Newton IL 62448-1727 |
| Mailing Address |
1207 Network Centre Dr Suite 3 Effingham IL 62401-4632 |
| Practice Telephone | 6187833800 |
| Practice Fax Number | 6187835070 |
| Mailing Telephone | 2173472707 |
| Mailing Fax Number | 2173472827 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | DR. EUGENE P. DUST (PRESIDENT OF MID-ILLINOIS MEDICAL C) |
| Authorized Official Telephone | 2173472707 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
036108589 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036108589 | 05 |
| Other Name | Type Code |
|---|---|
| Dr. George Saliba | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568619088 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 203 S. Main St., Dieterich, IL 62424 | 2008-08-27 |
| 1477742831 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 206 N Pearl, Teutopolis, IL 62467 | 2007-10-22 |
| 1568651925 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 900 W Temple Ave Ste 205, Effingham, IL 62401-2187 | 2007-10-22 |
| 1922067289 | Mid-illinois Medical Care Associates, LLC | Family Medicine | 1207 Network Centre Dr, Suite 3, Effingham, IL 62401-4632 | 2006-03-23 |
| 1871159053 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 601 W Washington St Ste 1, Newton, IL 62448-1249 | 2019-05-14 |
| 1841489200 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 512 N Maple St, Effingham, IL 62401-2005 | 2007-10-22 |
| 1770771024 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2007-10-11 |
| Street Address |
910 S VAN BUREN ST |
| City | NEWTON |
| State | IL |
| Zip Code | 62448-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063582765 | Michele Kinder | Nurse Practitioner | 910 S Van Buren St, Newton, IL 62448-1727 | 2006-11-09 |
| 1649668575 | Sarah Bush Lincoln Health Center | Clinic/Center | 910 S Van Buren St, Newton, IL 62448-1727 | 2014-12-30 |
| 1750541983 | Patricia Michelle Fulton | Nurse Practitioner | 910 S Van Buren St, Newton, IL 62448-1727 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285114025 | Jennifer Eaton | Speech-Language Pathologist | 100 E. Maxwell St., Newton, IL 62448 | 2018-08-21 |
| 1962918169 | Erica Rose Schumacher | Speech-Language Pathologist | 100 E Maxwell St, Newton, IL 62448 | 2017-12-26 |
| 1063506772 | Jasper County Comm Unit Dist 1 | Local Education Agency (LEA) | 609 S Lafayette, Newton, IL 62448 | 2006-10-03 |
| 1467462788 | Jeanine Marie Fell | Dentist | 605 South Vanburen, Newton, IL 62448 | 2006-08-09 |
| 1639635972 | Tammy Andes | Registered Nurse | 601 W Washington St Ste 1, Newton, IL 62448 | 2019-02-12 |
| 1124535737 | Lori Smith | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-04 |
| 1083121867 | Mandy Rieman | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1376050153 | Sandra Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1699282467 | Christy Gentry | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1669989448 | Ashley Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| Find all providers in zip 62448 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962754507 | New Care Clinics LLC | Clinic/Center | 315 West 3rd Street North, Newton, IA 50208-3828 | 2012-10-05 |
| 1669743233 | Pioneer Health Services of Newton County, LLC | Clinic/Center | 9427 Eastside Drive Ext. Suite A, Newton, MS 39345 | 2012-01-13 |
| 1649584749 | Bridges Health Clinic | Clinic/Center | 801 Northside Dr, Newton, MS 39345-2384 | 2010-07-30 |
| 1396931432 | Springfield Clinic LLP | Clinic/Center | 507 W Washington St, Newton, IL 62448-1247 | 2007-09-22 |
| 1124120928 | Newton Family Clinic Pa | Clinic/Center | 207 East Court, Newton, TX 75966 | 2006-09-02 |
| 1871159053 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 601 W Washington St Ste 1, Newton, IL 62448-1249 | 2019-05-14 |
| 1386024016 | Richland Memorial Hospital, Inc. | Clinic/Center | 500 S Scott Ave, Newton, IL 62448-1665 | 2015-06-08 |
| 1649668575 | Sarah Bush Lincoln Health Center | Clinic/Center | 910 S Van Buren St, Newton, IL 62448-1727 | 2014-12-30 |
| 1760660567 | Reginald L Vernier | Clinic/Center | 500 S Scott Ave, Newton, IL 62448-1665 | 2008-02-04 |
| 1023170057 | Reginald L Vernier | Clinic/Center | 500 S Scott Ave, Newton, IL 62448-1665 | 2006-12-15 |
| Find all providers in NEWTON | ||||
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| 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.