PENNY ATTAWAY (NPI# 1184741175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184741175 |
| Entity Type | Organization |
| Organization Name | PENNY ATTAWAY |
| Other Organization Name | MEDICAL SERVICES UNLIMITED |
| Practice Address |
1411 W Main St Westport Plaza Fairfield IL 62837-2300 |
| Practice Telephone | 6188425285 |
| Practice Fax Number | 6188424576 |
| Mailing Telephone | 6188425285 |
| Mailing Fax Number | 6188424576 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-01-19 |
| Authorized Official Name | PENNY ATTAWAY (OWNER, FNP) |
| Authorized Official Telephone | 6188425285 |
| Authorized Official Credential | MSN FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
209001693 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 9620466 | 01 |
| IL | TRICARE | L040233 | 01 |
| IL | MEDICARE B | 385130 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Services Unlimited | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528185170 | Penny Attaway | Clinic/Center | 1404 N 5th St, Vandalia, IL 62471-1039 | 2007-03-26 |
| Street Address |
1411 W MAIN ST WESTPORT PLAZA |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263501 | Fairfield Hospital District | Clinic/Center | 734 W Commerce St, Suite C, Fairfield, TX 75840-1428 | 2016-09-13 |
| 1457728008 | Jefferson County Hospital | Clinic/Center | 2000b S Main St, Fairfield, IA 52556-9572 | 2015-08-31 |
| 1295908853 | Fairfield Memorial Hospital Association | Clinic/Center | 213 Nw 10th St, Suite A, Fairfield, IL 62837-1219 | 2008-04-03 |
| 1609959188 | Fairfield Medical Associates, PC | Clinic/Center | 33 Red Hill Rd, Fairfield, VA 24435-0405 | 2006-10-20 |
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| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
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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.