SARAH BUSH LINCOLN HEALTH CENTER (NPI# 1386283455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386283455 |
| Entity Type | Organization |
| Organization Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Practice Address |
1611 Veterans Ave Ste T Vandalia IL 62471-3303 |
| Mailing Address |
1000 Health Center Dr Mattoon IL 61938-4644 |
| Practice Telephone | 2172386161 |
| Mailing Telephone | 2172582525 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | DENNIS PLUARD (CFO) |
| Authorized Official Telephone | 2172582513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Lincolnland Home Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1467570507 | Sarah Bush Lincoln Health Center | Family Medicine | 200 Professional Plz, Mattoon, IL 61938-9280 | 2007-03-27 |
| 1386762425 | Sarah Bush Lincoln Health Center | Family Medicine | 104 Courthouse Square, Toledo, IL 62468 | 2007-03-27 |
| 1588782627 | Sarah Bush Lincoln Health Center | Family Medicine | 1005 Health Center Drive, Suite 103, Prairie Pavilion I, Mattoon, IL 61938-4693 | 2007-03-27 |
| 1083732630 | Sarah Bush Lincoln Health Center | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2007-03-26 |
| 1922190024 | Sarah Bush Lincoln Health Center | Home Health | 1004 Health Center Dr, Suite 202, Mattoon, IL 61938-9253 | 2006-09-28 |
| 1447791447 | Sarah Bush Lincoln Health Center | Psychiatry & Neurology | 1005 Health Center Dr, Suite 101, Mattoon, IL 61938-4693 | 2017-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SARAH BUSH LINCOLN HEALTH CENTER | 1000 Health Center Dr, Mattoon, IL 61938-9253 |
| Street Address |
1611 VETERANS AVE STE T |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1174752745 | Curt's Specialities LLC | Durable Medical Equipment & Medical Supplies | 177 N Brown School Rd, Vandalia, OH 45377-2841 | 2009-07-05 |
| 1871748368 | Atg Connecticut Inc | Durable Medical Equipment & Medical Supplies | 783 Crossroads Ct, Vandalia, OH 45377-9415 | 2008-11-25 |
| 1184898868 | Granite City Orthopedic Physicians Company LLC | Durable Medical Equipment & Medical Supplies | 650 West Taylor Street, Vandalia, IL 62471-1227 | 2008-04-15 |
| 1316124381 | Gray Ghost Inc | Durable Medical Equipment & Medical Supplies | 925 Old Springfield Rd, Vandalia, OH 45377-9302 | 2008-01-22 |
| 1538278866 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 10 West National Road, Vandalia, OH 45377-1933 | 2006-08-30 |
| 1568486165 | Cains Drug Store Inc | Durable Medical Equipment & Medical Supplies | 1401 N 8th St, Vandalia, IL 62471-1028 | 2006-07-27 |
| 1700803061 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 201 Mattes Ave, Vandalia, IL 62471-2063 | 2006-07-16 |
| 1659305357 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 780 Northwoods Blvd, Vandalia, OH 45377-9462 | 2006-07-10 |
| 1609171255 | Alliance Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 113 W National Rd, Vandalia, OH 45377-1934 | 2011-01-12 |
| Find all providers in VANDALIA | ||||
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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.