MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC (NPI# 1568651925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568651925 |
| Entity Type | Organization |
| Organization Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| Other Organization Name | DR. DUST |
| Practice Address |
900 W Temple Ave Ste 205 Effingham IL 62401-2187 |
| Mailing Address |
1207 Network Centre Dr Ste 3 Effingham IL 62401-4632 |
| Practice Telephone | 2173470458 |
| Practice Fax Number | 2173422992 |
| Mailing Telephone | 2173472707 |
| Mailing Fax Number | 2173472827 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | DR. EUGENE P. DUST (PRESIDENT OF LLC) |
| Authorized Official Telephone | 2173475917 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr. Dust | Other Name - Individual/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 |
| 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 |
| 1366683252 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 910 S Van Buren St, Newton, IL 62448-1727 | 2009-03-23 |
| 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 |
900 W TEMPLE AVE STE 205 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154697233 | Jayne A. Morrison | Nurse Practitioner | 900 W Temple Ave Ste 205, Effingham, IL 62401-2187 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 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 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1265904486 | Hshs Medical Group Inc | Clinic/Center | 900 W Temple Ave Ste 1500, Effingham, IL 62401-2121 | 2018-12-28 |
| 1649677063 | Effingham Obstetrics and Gynecology Associates LLC | Clinic/Center | 912 N Henrietta St, Effingham, IL 62401 | 2014-12-01 |
| 1841489200 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 512 N Maple St, Effingham, IL 62401-2005 | 2007-10-22 |
| 1205023637 | Springfield Clinic LLP | Clinic/Center | 300 N Maple St, Effingham, IL 62401-2003 | 2007-10-01 |
| 1699851576 | Atchison Hospital Association | Clinic/Center | 512 Main St, Effingham, KS 66023 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| 1356884993 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit B, Cissna Park, IL 60924-9710 | 2016-11-30 |
| 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.