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SARAH BUSH LINCOLN HEALTH CENTER NPI 1487194668


NPI Information

NPI: 1487194668
Provider Name: SARAH BUSH LINCOLN HEALTH CENTER

Doing Business As: CHARLESTON EAST FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2040 LINCOLN AVE
CHARLESTON, IL
ZIP 61920
Phone: (217) 258-2211
Get Directions

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 1487194668. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Charleston East Family Practice.

The provider's business location address is:

2040 LINCOLN AVE
CHARLESTON, IL
ZIP 61920-197
Phone: (217) 258-2211

The provider's authorized official is Dennis Pluard .
The authorized official title is Vp Of Operations and has the following contact phone number (217) 258-2102.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 3/7/2017.


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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