MARSHALL CLINIC EFFINGHAM S.C. NPI 1952304412

NPI Information

NPI: 1952304412
Provider Name: MARSHALL CLINIC EFFINGHAM, S.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-4151
Get Directions

MARSHALL CLINIC EFFINGHAM, 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. MARSHALL CLINIC EFFINGHAM, S.C. NPI is 1952304412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 N MAPLE ST
EFFINGHAM, IL
ZIP 62401-003
Phone: (217) 342-4151
Fax: (217) 342-4190

The provider's authorized official is Hope E Knauer .
The authorized official title is President and has the following contact phone number (217) 342-4151.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 6/21/2018.

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	License Number	License State	Primary
1	208600000X	Surgery	036095601	ILLINOIS	No
2	207N00000X	Dermatology	036099940	ILLINOIS	No
3	208000000X	Pediatrics	036089116	ILLINOIS	No
4	207Q00000X	Family Medicine	036084841	ILLINOIS	No
5	207R00000X	Internal Medicine	036108589	ILLINOIS	No
6	208000000X	Pediatrics	036103305	ILLINOIS	No
7	208000000X	Pediatrics	036094764	ILLINOIS	No
8	207Q00000X	Family Medicine	036112996	ILLINOIS	No
9	207R00000X	Internal Medicine	036089116	ILLINOIS	No
10	207R00000X	Internal Medicine	036094764	ILLINOIS	No
11	207R00000X	Internal Medicine	036103305	ILLINOIS	No
12	207Q00000X	Family Medicine	036085448	ILLINOIS	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	=========	OTHER	ILLINOIS	FED TAX ID #
2	CK1050	OTHER	ILLINOIS	RAILROAD MEDICARE
3	14D0902430	OTHER	ILLINOIS	CLIA
4	0881270001	OTHER	ILLINOIS	DME MAC, MEDICARE
5	2523659	OTHER	ILLINOIS	BC/BS GROUP PROVIDER #

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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