MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC (NPI# 1477742831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477742831 |
| Entity Type | Organization |
| Organization Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| Other Organization Name | RUNDE CLINIC |
| Practice Address |
206 N Pearl Teutopolis IL 62467 |
| Mailing Address |
1207 Network Centre Dr Ste 3 Effingham IL 62401-4632 |
| Practice Telephone | 2178576481 |
| Practice Fax Number | 2178576094 |
| Mailing Telephone | 2173472707 |
| Mailing Fax Number | 2173472827 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | DR. EUGENE P. DUST (PRESIDENT OF LLC) |
| Authorized Official Telephone | 2173475917 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Runde Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568619088 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 203 S. Main St., Dieterich, IL 62424 | 2008-08-27 |
| 1568651925 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 900 W Temple Ave Ste 205, Effingham, IL 62401-2187 | 2007-10-22 |
| 1922067289 | Mid-illinois Medical Care Associates, LLC | Family Medicine | 1207 Network Centre Dr, Suite 3, Effingham, IL 62401-4632 | 2006-03-23 |
| 1871159053 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 601 W Washington St Ste 1, Newton, IL 62448-1249 | 2019-05-14 |
| 1366683252 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 910 S Van Buren St, Newton, IL 62448-1727 | 2009-03-23 |
| 1841489200 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 512 N Maple St, Effingham, IL 62401-2005 | 2007-10-22 |
| 1770771024 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2007-10-11 |
| Street Address |
206 N PEARL |
| City | TEUTOPOLIS |
| State | IL |
| Zip Code | 62467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851696462 | Rebecca Fay Rhodes | Developmental Therapist | 207 East Walnut St, Teutopolis, IL 62467 | 2011-01-13 |
| 1629170949 | Marcella N. Kruger | Nurse Practitioner | 206 N. Pearl St., Teutopolis, IL 62467 | 2006-09-05 |
| 1790771673 | Gerald P. Runde | Dentist | 206 N. Pearl St., Teutopolis, IL 62467-0215 | 2005-09-26 |
| 1023349230 | Becky L Mcginnis | Nurse Practitioner | 206 N. Pearl St., Teutopolis, IL 62467-0220 | 2010-01-28 |
| 1235484551 | Kremer Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 206a N Pearl St, Teutopolis, IL 62467-1134 | 2012-07-24 |
| 1972563500 | John U. Merkel | Family Medicine | 206 N Pearl St, Teutopolis, IL 62467-1134 | 2006-03-27 |
| 1316595101 | Teutopolis Family Dental LLC | Dentist | 206 N Pearl St, Teutopolis, IL 62467-1134 | 2019-08-27 |
| 1073054979 | Brittany Ann Denton | Nurse Practitioner | 206 N Pearl St, Teutopolis, IL 62467-1134 | 2017-03-13 |
| 1073742664 | Eric Anthony Bloemer | Family Medicine | 206 N. Pearl St., Teutopolis, IL 62467-1134 | 2009-07-06 |
| 1760442214 | Charles W. Runde | Family Medicine | 206 N Pearl St, Teutopolis, IL 62467-1134 | 2006-03-27 |
| Find all providers in zip 62467 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 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 | ||||
| City | TEUTOPOLIS |
| Zip Code | 62467 |
Please comment or provide details below to improve the information on MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC.
| 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.