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CONSOLIDATED COMMUNITY MEDICAL CENTERS S.C. NPI 1518993930


NPI Information

NPI: 1518993930
Provider Name: CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0947189

Address:
901 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Phone: (217) 347-2900
Get Directions

CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C. is a family medicine in Effingham, 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. CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C. NPI is 1518993930. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 N MAPLE ST
EFFINGHAM, IL
ZIP 62401-401
Phone: (217) 347-2900
Fax: (217) 347-2922

The provider's authorized official is Dominic Charles Imburgia .
The authorized official title is President and has the following contact phone number (217) 347-2900.

The CLIA number assigned to this NPI record is 14D0947189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/14/2007.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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
1208154MEDICARE PINILLINOIS
208726591OTHERILLINOISBCBS

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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