CENTRAL ILLINOIS HEALTH ASSOCIATES, INC (NPI# 1487053369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487053369 |
| Entity Type | Organization |
| Organization Name | CENTRAL ILLINOIS HEALTH ASSOCIATES, INC |
| Practice Address |
2300 N. Edward Street Decatur IL 62526 |
| Practice Telephone | 2178776020 |
| Practice Fax Number | 2178736029 |
| Mailing Telephone | 2178776020 |
| Mailing Fax Number | 2178736029 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | MR. MARSHALL F. BRUSTEIN (CHAIRMAN) |
| Authorized Official Telephone | 2178728204 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
2300 N. EDWARD STREET |
| City | DECATUR |
| State | IL |
| Zip Code | 62526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497267215 | Leslie K. Roberts | Social Worker | 2300 N. Edward Street, Ciha, Decatur, IL 62526 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| 1578865986 | Matthew Ryan Groves | Chiropractor | 3419 N. Woodford St, Decatur, IL 62526 | 2010-11-18 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196477 | Nutrition Prescriptions LLC | Preferred Provider Organization | 2670 Miriam Ln, Decatur, GA 30032-5731 | 2019-04-05 |
| 1437311818 | Active Ankle & Foot Care Specialist | Preferred Provider Organization | 1434 Scott Blvd Ste 3, Scott Blvd, Suite 3, Decatur, GA 30030-1424 | 2008-06-27 |
| 1558550384 | Reunited Counseling & Training LLC | Preferred Provider Organization | 143 New St, Decatur, GA 30030-4131 | 2007-10-17 |
| 1740547033 | The Emory Clinic | Preferred Provider Organization | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1134686439 | Qualsight LLC | Preferred Provider Organization | 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 | 2019-02-23 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1821549163 | Family Dental Practice | Preferred Provider Organization | 9709 Milwaukee Ave, Glenview, IL 60025-4567 | 2016-10-21 |
| 1548613094 | Shaunna R Repa | Preferred Provider Organization | 2231 Dawson Ln, Algonquin, IL 60102-5983 | 2016-07-20 |
| 1417308081 | Mother Dearest | Preferred Provider Organization | 14214 Woodlawn Ave, Dolton, IL 60419-1316 | 2016-06-24 |
| 1992154991 | Demoulin Family Chiropractic, Ltd. | Preferred Provider Organization | 11danada Square East, Wheaton, IL 60189-8484 | 2016-06-09 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
| Find all providers with the same taxonomy | ||||
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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.