SIMPLY THE BREAST, LLC (NPI# 1750554960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750554960 |
| Entity Type | Organization |
| Organization Name | SIMPLY THE BREAST, LLC |
| Other Organization Name | ADVANCEDTECH BREAST IMAGING SPECIALISTS, LLC |
| Practice Address |
500 N Maple St Effingham IL 62401-2005 |
| Practice Telephone | 2173426266 |
| Practice Fax Number | 2173426269 |
| Mailing Telephone | 2173426266 |
| Mailing Fax Number | 2173426269 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | MR. DAVID R HORACE (PRESIDENT) |
| Authorized Official Telephone | 6189738740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADVANCEDTECH BREAST IMAGING SPECIALISTS, LLC | Doing Business As Name - Organization |
| Street Address |
500 N MAPLE ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376739490 | Midwest Sleep Inc | Clinic/Center | 500 N Maple St, Rm 100, Effingham, IL 62401-2005 | 2007-09-21 |
| 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 | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1295869071 | Resurrection Services | Clinic/Center | 420 William Street, 2nd Floor, River Forest, IL 60305-1920 | 2007-03-15 |
| 1952778474 | Alton Multispecialists, Ltd. | Clinic/Center | 1 Professional Dr, Alton, IL 62002-5068 | 2015-09-01 |
| 1154798882 | Alton Multispecialists, Ltd. | Clinic/Center | 1 Professional Dr, Alton, IL 62002-5068 | 2015-08-28 |
| 1588001093 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-24 |
| 1033446810 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2009-11-16 |
| 1992879126 | Ottawa Medical Center, PC | Clinic/Center | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2006-11-20 |
| 1598840423 | Sterling Rock Falls Clinic, Ltd | Clinic/Center | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-10-26 |
| 1497857593 | Belleville Imaging, Inc. | Clinic/Center | 15 Park Pl, Swansea, IL 62226-2968 | 2006-09-01 |
| 1245287143 | Ft. Jesse Imaging Center LLC | Clinic/Center | 2200 Fort Jesse Rd, Suite 130, Normal, IL 61761-6286 | 2006-05-27 |
| 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.