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SARAH BUSH LINCOLN HEALTH CENTER NPI 1437277571


NPI Information

NPI: 1437277571
Provider Name: SARAH BUSH LINCOLN HEALTH CENTER

Doing Business As: CHARLESTON FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0705758

Address:
116 W BUCHANAN AVE
CHARLESTON, IL
ZIP 61920
Phone: (217) 345-7700
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SARAH BUSH LINCOLN HEALTH CENTER is a family medicine in Charleston, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SARAH BUSH LINCOLN HEALTH CENTER NPI is 1437277571. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Charleston Family Practice.

The provider's business location address is:

116 W BUCHANAN AVE
CHARLESTON, IL
ZIP 61920-522
Phone: (217) 345-7700

The provider's authorized official is Dennis Pluard .
The authorized official title is Cfo and has the following contact phone number (217) 258-2513.

The CLIA number assigned to this NPI record is 14D0705758 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/17/2007.


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
1207Q00000XFamily MedicineYes

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

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