MICHAEL W ELLIOTT II MD NPI 1417989237

NPI Information

NPI: 1417989237
Provider Name: MICHAEL W ELLIOTT II MD
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
807 W CRAFT ST
ROBINSON, IL
ZIP 62454
Phone: (618) 546-5052
Get Directions

MICHAEL W ELLIOTT II MD is a rural health clinic center in Robinson, IL. MICHAEL W ELLIOTT II MD NPI is 1417989237. The provider is registered as an organization entity type.

The provider's business location address is:

807 W CRAFT ST
ROBINSON, IL
ZIP 62454
Phone: (618) 546-5052
Fax: (618) 544-2094

The provider's authorized official is Amy Goodwin .
The authorized official title is Rhc Coordinator and has the following contact phone number (618) 546-5052.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 10/7/2010.

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	261QR1300X	Clinic/Center	Rural Health			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	036102103	MEDICAID	ILLINOIS
2	G83376	MEDICARE UPIN
3	148958	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RHC MEDICARE
4	148958	MEDICARE OSCAR/CERTIFICATION
5	584060	MEDICARE PIN
6	=========001	MEDICAID	ILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »