SPRINGFIELD CLINIC RIVERTON LAB (NPI# 1184901167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184901167 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD CLINIC RIVERTON LAB |
| Practice Address |
1275 N 7th St Suite A Riverton IL 62561-9739 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175254150 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | MR. ALAN NERONE (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 2175287541 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPRINFIELD CLINIC LLP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 14D2020046 | 01 |
| Street Address |
1275 N 7TH ST SUITE A |
| City | RIVERTON |
| State | IL |
| Zip Code | 62561-9739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982768883 | Currys Family Pharmacy Inc | Pharmacy | 1275 N 7th St, Riverton, IL 62561-9739 | 2006-12-22 |
| 1487132742 | Currys Family Pharmacy Inc | Pharmacy | 1275 N 7th St, Riverton, IL 62561 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396846903 | Riverton Comm Unit School District 14 | Local Education Agency (LEA) | 6425 Old Route 36, Riverton, IL 62561 | 2006-09-26 |
| 1861537599 | Deborah Ann Ferry | Speech-Language Pathologist | 7 Brook Ln, Riverton, IL 62561-8003 | 2007-02-20 |
| 1235293135 | Thomas Dale Curry | Pharmacist | 1279 N 7th St, Riverton, IL 62561-9355 | 2006-12-22 |
| 1861024077 | Lauren Voils | Behavior Technician | 111 N Allen St, Spaulding, IL 62561-9604 | 2020-02-05 |
| 1902815806 | Erik Hanson | Counselor | 30 Holiday Ln, Riverton, IL 62561-9620 | 2006-08-07 |
| 1811538580 | Emily Cooper | Nurse Practitioner | 43 Devine Dr, Riverton, IL 62561-9627 | 2019-10-03 |
| 1932324225 | Erin Ann Sanzenbacher | Speech-Language Pathologist | 178 Schneider St Apt S, Spaulding, IL 62561-9764 | 2007-04-13 |
| 1245867837 | Aaron B Christianson | Physician Assistant | 620 E Menard St, Riverton, IL 62561-9770 | 2020-03-24 |
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1346442134 | Pendleton Community Care, Inc. | Clinical Medical Laboratory | 16921 Mountaineer Drive, Riverton, WV 26814-0101 | 2007-06-04 |
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| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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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.