SARAH BUSH LINCOLN HEALTH CENTER (NPI# 1467951699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467951699 |
Entity Type | Organization |
Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
Other Organization Name | LINCOLNLAND HOME MEDICAL EQUIPMENT |
Practice Address |
903 N Maple St Effingham IL 62401 |
Mailing Address |
300 Coles Centre Pkwy Mattoon IL 61938-9375 |
Practice Telephone | 2173477372 |
Mailing Telephone | 2172350660 |
Enumeration Date | 2018-02-02 |
Last Update Date | 2018-08-23 |
Authorized Official Name | DANIEL HOLSTE (POST ACUTE CARE DIRECTOR) |
Authorized Official Telephone | 2172386161 |
Is Organization Subpart | Y |
Parent Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203.001989 | IL | Suppliers |
Other Name | Type Code |
---|---|
Lincolnland Home Medical Equipment | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386283455 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 1611 Veterans Ave Ste T, Vandalia, IL 62471-3303 | 2020-01-06 |
1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
1467570507 | Sarah Bush Lincoln Health Center | Family Medicine | 200 Professional Plz, Mattoon, IL 61938-9280 | 2007-03-27 |
1386762425 | Sarah Bush Lincoln Health Center | Family Medicine | 104 Courthouse Square, Toledo, IL 62468 | 2007-03-27 |
1588782627 | Sarah Bush Lincoln Health Center | Family Medicine | 1005 Health Center Drive, Suite 103, Prairie Pavilion I, Mattoon, IL 61938-4693 | 2007-03-27 |
1083732630 | Sarah Bush Lincoln Health Center | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2007-03-26 |
1922190024 | Sarah Bush Lincoln Health Center | Home Health | 1004 Health Center Dr, Suite 202, Mattoon, IL 61938-9253 | 2006-09-28 |
1447791447 | Sarah Bush Lincoln Health Center | Psychiatry & Neurology | 1005 Health Center Dr, Suite 101, Mattoon, IL 61938-4693 | 2017-03-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SARAH BUSH LINCOLN HEALTH CENTER | 1000 Health Center Dr, Mattoon, IL 61938-9253 |
Street Address |
903 N MAPLE ST |
City | EFFINGHAM |
State | IL |
Zip Code | 62401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
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 |
1952699894 | Jonathan Workman | Orthopaedic Surgery | 1303 W Evergreen Ave Ste 101, Effingham, IL 62401 | 2011-07-13 |
Find all providers in zip 62401 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578915120 | Aaa Mobility Specialists of Illinois, Inc | Durable Medical Equipment & Medical Supplies | 711 W Jefferson Ave, Effingham, IL 62401-2030 | 2016-07-07 |
1346578390 | Bonnie Faye Brown | Durable Medical Equipment & Medical Supplies | 7269 Law Road, Effingham, SC 29541 | 2009-12-03 |
1235372475 | Mommy & Me Boutique, Inc. | Durable Medical Equipment & Medical Supplies | 314 W Jefferson Ave, Effingham, IL 62401-2352 | 2009-04-17 |
1316109721 | Bandys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 410 N Maple St, Effingham, IL 62401-2004 | 2008-06-26 |
1538367461 | Mt Vernon Community Pharmacy | Durable Medical Equipment & Medical Supplies | 803 W Fayette Ave Ste B, Effingham, IL 62401-2415 | 2007-07-03 |
1578642476 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 700 N Henrietta St, Suite B, Effingham, IL 62401-1720 | 2006-11-03 |
1366534448 | Sarah Bush Lincoln Health Management Services | Durable Medical Equipment & Medical Supplies | 903 N Maple, Effingham, IL 62401 | 2006-09-28 |
1174620082 | The Thomas Shop | Durable Medical Equipment & Medical Supplies | 200 W Jefferson Ave, Effingham, IL 62401-2346 | 2006-09-20 |
1992710180 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1200 W Fayette Ave, Effingham, IL 62401-1913 | 2006-07-29 |
1619994977 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1204 Avenue of Mid America, Effingham, IL 62401-4715 | 2006-07-16 |
Find all providers in EFFINGHAM |
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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.