KEITH PHILLIPS (NPI# 1033695325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033695325 |
Entity Type | Individual |
Full Name | KEITH PHILLIPS |
Practice Address |
22 Veterans Dr Harrisburg IL 62946-3320 |
Mailing Address |
Po Box 869 Harrisburg IL 62946-0869 |
Practice Telephone | 6182520275 |
Practice Fax Number | 6182522389 |
Mailing Telephone | 6182520275 |
Mailing Fax Number | 6182522389 |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316405384 | Keith Phillips | Emergency Medical Technician, Basic | 39 Wilbur Ave, Newark, NJ 07112-2311 | 2019-03-07 |
1063638310 | Keith Martin Phillips | Dentist | 5619 Valley Ave E, Tacoma, WA 98424-2060 | 2007-04-17 |
1417180308 | Keith A Phillips | Radiology | 1116 Millis Ave, Boonville, IN 47601-2226 | 2009-08-26 |
1457546749 | Keith Alexander Phillips | Dentist | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-09-10 |
Street Address |
22 VETERANS DR |
City | HARRISBURG |
State | IL |
Zip Code | 62946-3320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
Find all providers in zip 62946 |
Taxonomy Code | 171WH0202X |
Grouping | Other Service Providers |
Classification | Contractor |
Specialization | Home Modifications |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548897986 | Cr Vaughn Inc | Contractor | 600 Dunn Ln, Goreville, IL 62939-2487 | 2020-03-25 |
1306476692 | Wanake Schaeffer | Contractor | 705 Brittany Sq Apt 2, Grayslake, IL 60030-1356 | 2020-01-25 |
1114431798 | Independent Living Solutions, Inc. | Contractor | 6327 N Pulaski Rd, Chicago, IL 60646-4511 | 2017-11-19 |
1386157618 | John Michael Beckwith | Contractor | 1508 W Anthony Dr, Champaign, IL 61821-1191 | 2017-11-08 |
1811435779 | Corey Mitchell | Contractor | 4528 S Evans Ave, Chicago, IL 60653-3521 | 2017-02-10 |
1700321775 | Alan Stirling | Contractor | 447 S Center Ave, Bradley, IL 60915-2113 | 2016-12-30 |
1780133397 | David Adams | Contractor | 308 Willards Ferry Rd, Jonesboro, IL 62952-1113 | 2016-09-23 |
1689128894 | Timothy Scott Barton Jr. | Contractor | 3039 Golf Ter, Apt 12, Danville, IL 61832-1230 | 2016-08-05 |
1437520913 | Rebecca Backhus | Contractor | 206 W Wall St Apt 1, Morrison, IL 61270-2300 | 2015-10-09 |
1033464565 | Viola Nikita Hunter | Contractor | 176 North Laporte Ave, Chicago, IL 60644-3510 | 2012-07-20 |
Find all providers with the same taxonomy |
City | HARRISBURG |
Zip Code | 62946 |
Please comment or provide details below to improve the information on KEITH PHILLIPS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.