SPRINGFIELD CLINIC LLP NPI 1518143452

NPI Information

NPI: 1518143452
Provider Name: SPRINGFIELD CLINIC, LLP

Other Name: LINCOLN RURAL HEALTH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
100 STAHLHUT DR
LINCOLN, IL
ZIP 62656
Phone: (217) 735-9555
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SPRINGFIELD CLINIC, LLP is a rural health clinic center in Lincoln, IL. SPRINGFIELD CLINIC, LLP NPI is 1518143452. The provider is registered as an organization entity type.
The provider Other Name Is Lincoln Rural Health.

The provider's business location address is:

100 STAHLHUT DR
LINCOLN, IL
ZIP 62656-059
Phone: (217) 735-9555

The provider's authorized official is Alan Nerone .
The authorized official title is Senior Vice President & Ceo and has the following contact phone number (217) 528-7541.

The CLIA number assigned to this NPI record is 14D0864167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 8/30/2017.

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
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	=========006	MEDICAID	ILLINOIS
2	143925	MEDICARE OSCAR/CERTIFICATION

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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