OPEN MRI OF COLES COUNTY LLC NPI 1013931377

NPI Information

NPI: 1013931377
Provider Name: OPEN MRI OF COLES COUNTY LLC
Classification: Internal Medicine - 207RM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
100 PROFESSIONAL PLAZA
STE 1A
MATTOON, IL
ZIP 61938
Phone: (217) 345-0700
Get Directions

OPEN MRI OF COLES COUNTY LLC is a magnetic resonance imaging (mri) internal medicine in Mattoon, IL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207RM1200X not be used. Choose a more appropriate code. OPEN MRI OF COLES COUNTY LLC NPI is 1013931377. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 PROFESSIONAL PLAZA
STE 1A
MATTOON, IL
ZIP 61938
Phone: (217) 345-0700
Fax: (217) 345-0712

The provider's authorized official is Shanna D Runge .
The authorized official title is President Ceo and has the following contact phone number (217) 345-0700.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RM1200X	Internal Medicine	Magnetic Resonance Imaging (MRI)	33724466	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01532006	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	081138	OTHER		HMO HEALTH ALLIANCE
3	2924965	OTHER		CIGNA
4	534801	OTHER		HEALTHLINK PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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