SPRINGFIELD CLINIC LLP (NPI# 1598068793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598068793 |
Entity Type | Organization |
Organization Name | SPRINGFIELD CLINIC LLP |
Other Organization Name | SPRINGFIELD CLINIC JACKSONVILLE RURAL HEALTH |
Practice Address |
15 Founders Ln Jacksonville IL 62650-3919 |
Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
Practice Telephone | 2172911041 |
Mailing Telephone | 2175287541 |
Enumeration Date | 2010-12-09 |
Last Update Date | 2017-12-08 |
Authorized Official Name | MR. ALAN NERONE (SENIOR VICE PRESIDENT & CFO) |
Authorized Official Telephone | 2175287541 |
Is Organization Subpart | N |
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 |
---|---|
Springfield Clinic Jacksonville Rural Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316435340 | Springfield Clinic LLP | Clinical Medical Laboratory | 421 S Pine St, Stewardson, IL 62463-1341 | 2018-04-25 |
1972823631 | Springfield Clinic LLP | Clinic/Center | 3 Do It Drive, Altamont, IL 62411 | 2010-06-04 |
1972790889 | Springfield Clinic LLP | Clinic/Center | 223 E Sixth St, Neoga, IL 62447 | 2007-09-25 |
1396931432 | Springfield Clinic LLP | Clinic/Center | 507 W Washington St, Newton, IL 62448-1247 | 2007-09-22 |
1801384722 | Springfield Clinic LLP | Clinical Medical Laboratory | 501 N Main St, Flora, IL 62839-1405 | 2018-04-26 |
1467940387 | Springfield Clinic LLP | Clinical Medical Laboratory | 350 W Carpenter St, Springfield, IL 62702-4902 | 2018-04-26 |
1366930281 | Springfield Clinic LLP | Clinical Medical Laboratory | 3 Do It Dr, Altamont, IL 62411-1135 | 2018-04-26 |
1518455443 | Springfield Clinic LLP | Clinical Medical Laboratory | 507 W Washington St, Newton, IL 62448-1247 | 2018-04-26 |
1174011092 | Springfield Clinic LLP | Clinical Medical Laboratory | 223 E 6th St, Neoga, IL 62447-1629 | 2018-04-26 |
1699279976 | Springfield Clinic LLP | Clinical Medical Laboratory | 300 N Maple St, Effingham, IL 62401-2003 | 2018-03-21 |
Street Address |
15 FOUNDERS LN |
City | JACKSONVILLE |
State | IL |
Zip Code | 62650-3919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487609640 | Kim Wyatt | Family Medicine | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2006-05-24 |
1144850769 | Melinda J Dorsey | Registered Nurse | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2020-01-23 |
1578115390 | Doug R Mckain | Nurse Practitioner | 15 Founders Ln, Jacksonville, IL 62650 | 2019-07-11 |
1265901227 | Lisa J. Lyons | Physician Assistant | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2018-11-20 |
1528518602 | Agnes A. Fenner | Nurse Practitioner | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2016-10-12 |
1285184713 | Kaitlyn Renee Davidson | Nurse Practitioner | 15 Founders Ln, Jacksonville, IL 62650 | 2016-10-07 |
1538518709 | Natalie Mahoney | Family Medicine | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2016-06-08 |
1194196493 | Molly Taylor | Nurse Practitioner | 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 | 2015-10-13 |
1497131072 | Braden G. Anderson | Optometrist | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2015-08-05 |
1083020903 | Coral Jeanne Armour | Social Worker | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2014-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
Find all providers in zip 62650 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053804443 | Siu Physicians & Surgeons, Inc | Clinic/Center | 610 N Westgate Ave, Jacksonville, IL 62650-1152 | 2018-06-11 |
1861991226 | Jacksonville Hospital LLC | Clinic/Center | 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 | 2018-02-12 |
1922410836 | Passavant Physician Association | Clinic/Center | 557 N Westgate Ave, Jacksonville, IL 62650-1156 | 2014-05-27 |
1205180056 | Memorial Physician Services | Clinic/Center | 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650-1136 | 2012-11-01 |
1104179415 | Memorial Physician Services | Clinic/Center | 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 | 2012-10-24 |
1558614867 | Memorial Physician Services | Clinic/Center | 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 | 2012-10-24 |
1881947174 | Memorial Physician Services | Clinic/Center | 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 | 2012-10-24 |
1821366170 | East Texas Medical Center Jacksonville | Clinic/Center | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 | 2011-12-01 |
1619129897 | Jacksonville, LLC | Clinic/Center | 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 | 2008-10-21 |
1437301611 | Jacksonville, LLC | Clinic/Center | 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 | 2008-10-21 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 62650 |
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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.