PENNY ATTAWAY (NPI# 1528185170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528185170 |
| Entity Type | Organization |
| Organization Name | PENNY ATTAWAY |
| Other Organization Name | MEDICAL SERVICS UNLIMITED |
| Practice Address |
1404 N 5th St Vandalia IL 62471-1039 |
| Practice Telephone | 6182832000 |
| Practice Fax Number | 6182832002 |
| Mailing Telephone | 6182832000 |
| Mailing Fax Number | 6182832002 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | DR. PENNY ATTAWAY (DNP) |
| Authorized Official Telephone | 6189711440 |
| 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 | TRICARE | L040233 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Servics Unlimited | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184741175 | Penny Attaway | Clinic/Center | 1411 W Main St, Westport Plaza, Fairfield, IL 62837-2300 | 2007-03-23 |
| Street Address |
1404 N 5TH ST |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659415909 | Melanie Catlin Schaafsma | Social Worker | 1404 N 5th St, Vandalia, IL 62471-1039 | 2007-02-19 |
| 1851792782 | Vaughn Robart | Social Worker | 1404 N 5th St, Vandalia, IL 62471-1039 | 2014-09-10 |
| 1558618587 | Karen Gilmore | Social Worker | 1404 N 5th St, Vandalia, IL 62471-1039 | 2012-08-09 |
| 1578837415 | Mcs Counseling Services | Social Worker | 1404 N 5th St, Vandalia, IL 62471-1039 | 2012-02-23 |
| 1518159821 | Brandi Lynn Kelly | Social Worker | 1404 N 5th St, Vandalia, IL 62471-1039 | 2007-08-10 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789451 | St. Mary's Hospital | Clinic/Center | 825 New York Dr, Ste 2, Vandalia, IL 62471-1044 | 2005-06-10 |
| 1396861050 | Brian W Dossett Md Ltd | Clinic/Center | 1029 N 8th St, Vandalia, IL 62471-1238 | 2007-03-22 |
| 1568500510 | Fayette County Hospital District | Clinic/Center | 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 | 2007-02-02 |
| 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 | ||||
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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.