CR VAUGHN INC (NPI# 1548897986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548897986 |
| Entity Type | Organization |
| Organization Name | CR VAUGHN INC |
| Practice Address |
600 Dunn Ln Goreville IL 62939-2487 |
| Practice Telephone | 6182032668 |
| Mailing Telephone | 6182032668 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | MR. CHRISTOPHER R VAUGHN (CEO) |
| Authorized Official Telephone | 6182032668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Other Name | Type Code |
|---|---|
| Vaughn Electric | Doing Business As Name - Organization |
| Street Address |
600 DUNN LN |
| City | GOREVILLE |
| State | IL |
| Zip Code | 62939-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288756 | Sally J Ballard | Physician Assistant | 200 S Broadway, Goreville, IL 62939 | 2007-07-18 |
| 1063632818 | Raymond C Otte | Dentist | 112 W. Main St., Goreville, IL 62939-0008 | 2007-04-26 |
| 1619287232 | Tricia Ann Bailey | Developmental Therapist | 270 Regent Ln, Goreville, IL 62939-1913 | 2010-10-16 |
| 1629189238 | Janet S White | Physician Assistant | 400 S Broadway, Goreville, IL 62939-2444 | 2006-08-31 |
| 1962763045 | Rural Health, Inc. | Clinic/Center | 400 S Broadway, Goreville, IL 62939-2444 | 2012-06-05 |
| 1124237839 | Randle Earl Doty | Nurse Practitioner | 200 S Broadway # 40, Goreville, IL 62939-2447 | 2007-05-21 |
| 1790980985 | Cls Medical Inc. | Clinic/Center | 200 S Broadway, Goreville, IL 62939-2447 | 2007-06-18 |
| 1245493865 | Camarato Drug Inc | Pharmacy | 901 S Broadway, Goreville, IL 62939-2477 | 2008-07-03 |
| 1114440179 | Keith Samuel Bass | Nurse Practitioner | 400 S Broadway, Goreville, IL 62939-2484 | 2017-07-21 |
| 1457605834 | Amber Conyea | Physical Therapy Assistant | 1238 Francis Ln, Goreville, IL 62939-2514 | 2012-11-06 |
| Find all providers in zip 62939 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476692 | Wanake Schaeffer | Contractor | 705 Brittany Sq Apt 2, Grayslake, IL 60030-1356 | 2020-01-25 |
| 1033695325 | Keith Phillips | Contractor | 22 Veterans Dr, Harrisburg, IL 62946-3320 | 2018-07-19 |
| 1114431798 | Independent Living Solutions, Inc. | Contractor | 6327 N Pulaski Rd, Chicago, IL 60646-4511 | 2017-11-19 |
| 1386157618 | John Michael Beckwith | Contractor | 1508 W Anthony Dr, Champaign, IL 61821-1191 | 2017-11-08 |
| 1811435779 | Corey Mitchell | Contractor | 4528 S Evans Ave, Chicago, IL 60653-3521 | 2017-02-10 |
| 1700321775 | Alan Stirling | Contractor | 447 S Center Ave, Bradley, IL 60915-2113 | 2016-12-30 |
| 1780133397 | David Adams | Contractor | 308 Willards Ferry Rd, Jonesboro, IL 62952-1113 | 2016-09-23 |
| 1689128894 | Timothy Scott Barton Jr. | Contractor | 3039 Golf Ter, Apt 12, Danville, IL 61832-1230 | 2016-08-05 |
| 1437520913 | Rebecca Backhus | Contractor | 206 W Wall St Apt 1, Morrison, IL 61270-2300 | 2015-10-09 |
| 1033464565 | Viola Nikita Hunter | Contractor | 176 North Laporte Ave, Chicago, IL 60644-3510 | 2012-07-20 |
| 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.