DAVID P DAVIS MEDICINE, PC (NPI# 1841237583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841237583 |
| Entity Type | Organization |
| Organization Name | DAVID P DAVIS MEDICINE, PC |
| Other Organization Name | CLARK COUNTY FAMILY MEDICINE |
| Practice Address |
890 Ridgelawn Rd Martinsville IL 62442-0399 |
| Mailing Address |
890 Ridgelawn Rd Po Box 399 Martinsville IL 62442-0399 |
| Practice Telephone | 2173824191 |
| Practice Fax Number | 2173824248 |
| Mailing Telephone | 2173824191 |
| Mailing Fax Number | 2173824248 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | DR. DAVID PAUL DAVIS (OWNER) |
| Authorized Official Telephone | 2173824191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
036086811 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 316704395 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 01225376 | 01 |
| IN | ANTHEM | 000000079566 | 01 |
| IL | HEALTHLINK | 238297 | 01 |
| IL | AETNA | 0004400750 | 01 |
| IL | HEALTH ALLIANCE | 006686 | 01 |
| Other Name | Type Code |
|---|---|
| Clark County Family Medicine | Doing Business As Name - Organization |
| Street Address |
890 RIDGELAWN RD |
| City | MARTINSVILLE |
| State | IL |
| Zip Code | 62442-0399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750639480 | Clark County Family Medicine | Family Medicine | 890 Ridgelawn Rd, Martinsville, IL 62442-0399 | 2012-08-28 |
| 1164749503 | Terre Haute Medical Laboratory, Inc. | Clinical Medical Laboratory | 890 Ridgelawn Rd, Suite A, Martinsville, IL 62442 | 2010-04-26 |
| 1699857649 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 890 Ridgelawn Rd, Martinsville, IL 62442-0399 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790921674 | Martinsville Family Chiropractic Clinic Ltd | Chiropractor | 990 Ridgelawn Rd, Martinsville, IL 62442 | 2008-12-26 |
| 1063529071 | Martinsville Comm Unit School Dist 3 | Local Education Agency (LEA) | 255 West Cumberland, Martinsville, IL 62442 | 2006-08-24 |
| 1700180031 | Foster Dale Propst | Pharmacist | 890 Ridgelawn Road, Martinsville, IL 62442 | 2010-12-30 |
| 1588808513 | Robert Arnold Hoagland | Chiropractor | 990 Ridgelawn Rd, Martinsvillle, IL 62442 | 2009-04-21 |
| 1861855744 | Valerie Marie Mullen | Registered Nurse | 997 N. York St., Martinsville, IL 62442-0266 | 2016-03-30 |
| 1811350697 | Cathy Hayden | Community Health Worker | 997 North York Street, Martinsville, IL 62442-0266 | 2016-03-30 |
| 1396821237 | County of Clark | Public Health or Welfare | 997 N York Street, Martinsville, IL 62442-0266 | 2006-10-31 |
| 1518291715 | Union Associated Physicians Clinic, LLC | Internal Medicine | 890 Ridgelawn Road, Martinsville, IL 62442-0399 | 2009-09-22 |
| 1053302240 | David P Davis | Family Medicine | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2005-11-04 |
| 1285006973 | Sarah Bush Lincoln Health Center | Clinic/Center | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2015-10-21 |
| Find all providers in zip 62442 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1194340091 | Carilion Healthcare Corporation | Clinic/Center | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2020-06-16 |
| 1285006973 | Sarah Bush Lincoln Health Center | Clinic/Center | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2015-10-21 |
| 1265703458 | Martinsville Physician Practices LLC | Clinic/Center | 1109 Brookdale St, Ste C, Martinsville, VA 24112-4543 | 2012-01-19 |
| 1801010616 | Children's Medical Center, Ltd. | Clinic/Center | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2007-04-12 |
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| 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 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 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 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 62442 |
Please comment or provide details below to improve the information on DAVID P DAVIS MEDICINE, PC.
| 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.