MADISON COUNTY URBAN LEAGUE (NPI# 1174796734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174796734 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY URBAN LEAGUE |
| Practice Address |
500 Madison Ave Madison IL 62060-1414 |
| Mailing Address |
Po Box 135 Madison IL 62060-0135 |
| Practice Telephone | 6188769145 |
| Practice Fax Number | 6184525392 |
| Mailing Telephone | 6188769145 |
| Mailing Fax Number | 6184525392 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | ANN LOUISE WALKINGTON (NURSE) |
| Authorized Official Telephone | 6188769145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | IL | Ambulatory Health Care Facilities |
| Street Address |
500 MADISON AVE |
| City | MADISON |
| State | IL |
| Zip Code | 62060-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255514717 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 308 Madison Ave, Madison, IL 62060-1110 | 2007-12-07 |
| 1851305668 | Jason F. Kesselring | Pediatrics | 304 Madison Ave, Madison, IL 62060-1110 | 2006-07-28 |
| 1376959668 | Stay At Home Health Care Inc | Home Health | 1130 Douglas St, Madison, IL 62060-1122 | 2014-07-07 |
| 1740461870 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 1425 6th St, Madison, IL 62060-1417 | 2007-11-16 |
| 1790083095 | Chestnut Health Systems, Inc | Case Management | 1425 6th St, Madison, IL 62060-1417 | 2011-03-10 |
| 1770850075 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg B, Madison, IL 62060-1420 | 2011-11-30 |
| 1902184054 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg A, Madison, IL 62060-1420 | 2011-07-22 |
| 1316126147 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 648 State St, Madison, IL 62060-1420 | 2007-10-29 |
| 1073936530 | Kendra Jean Donaldson | Social Worker | 648 State St, Madison, IL 62060-1420 | 2014-02-03 |
| 1033310099 | County of Madison Community Unit School Dist 12 | Local Education Agency (LEA) | 1707 4th St, Madison, IL 62060-1505 | 2007-05-29 |
| Find all providers in zip 62060 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784174 | Bluestem Acupuncture | Clinic/Center | 715 Hill St Ste 130, Madison, WI 53705-3572 | 2019-01-23 |
| 1225502008 | Care Net Pregnancy Center of Dane County | Clinic/Center | 1350 Macarthur Rd, Madison, WI 53714-1018 | 2019-01-15 |
| 1447498449 | Rainbow Family Medicine | Clinic/Center | 1650 Slaughter Rd, Suite A, Madison, AL 35758-8610 | 2009-01-29 |
| 1225243330 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 2810 City View Dr, Ste. 200, Madison, WI 53718-7941 | 2007-05-11 |
| 1336222769 | Psychology Clinic Inc. | Clinic/Center | 310 N Midvale Blvd Ste 202, Madison, WI 53705-3265 | 2006-10-21 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1619926854 | Target Pharmacy T-1060 | Clinic/Center | 201 Junction Rd, Madison, WI 53717-2615 | 2006-05-06 |
| 1427032804 | Brightstarts Pediatrics PC | Clinic/Center | 3776 Sullivan St, Suite C, Madison, AL 35758-2371 | 2005-11-30 |
| 1235730870 | Nyaga LLC | Clinic/Center | 4095 Lawson Ridge Dr Apt 1016, Madison, AL 35757-7231 | 2020-11-02 |
| 1467088542 | Peak Performance Chiropractic and Rehab LLC | Clinic/Center | 132 Alton Dr, Madison, WI 53718-9156 | 2020-03-20 |
| Find all providers in MADISON | ||||
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| 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.