MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC (NPI# 1770771024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770771024 |
| Entity Type | Organization |
| Organization Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| Other Organization Name | ALTAMONT MEDICAL CENTER |
| Practice Address |
5 E Cumberland Rd Altamont IL 62411-1271 |
| Mailing Address |
1207 Network Centre Dr Ste 3 Effingham IL 62401-4632 |
| Practice Telephone | 6184836151 |
| Practice Fax Number | 6184836153 |
| Mailing Telephone | (217) 347-2707 |
| Mailing Fax Number | 2173472827 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2018-06-16 |
| 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 |
|---|---|
| Altamont Clinic | Doing Business As Name - Organization |
| Altamont Medical Center | Doing Business As Name - Organization |
| Altamont Medical Center | Other Name - Individual/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 |
| 1477742831 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 206 N Pearl, Teutopolis, IL 62467 | 2007-10-22 |
| 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 |
| Street Address |
5 E CUMBERLAND RD |
| City | ALTAMONT |
| State | IL |
| Zip Code | 62411-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497715056 | John P. Opilka | Family Medicine | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2006-03-27 |
| 1720631443 | Kathryn Lynn Koester | Nurse Practitioner | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2019-07-22 |
| 1326585605 | Kremer Pharmacy Inc | Pharmacy | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2017-01-25 |
| 1578008769 | Randi Leigh Berg | Nurse Practitioner | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2016-12-27 |
| 1902218308 | Heather Lynn Forys | Nurse Practitioner | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2014-05-20 |
| 1174872188 | Erin M Swingler | Nurse Practitioner | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2012-09-05 |
| 1932120466 | Kimberley S Burgess | Nurse Practitioner | 5 E Cumberland Rd, Altamont, IL 62411-1271 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972823631 | Springfield Clinic LLP | Clinic/Center | 3 Do It Drive, Altamont, IL 62411 | 2010-06-04 |
| 1356536569 | Allison Rose Schumacher | Dentist | 1 S 3rd St., Altamont, IL 62411 | 2007-09-11 |
| 1497736268 | Lutheran Care Center | Clinic/Center | 702 W Cumberland Rd, Altamont, IL 62411-1053 | 2005-11-09 |
| 1790828952 | Christopher James Sehy | Dentist | 1 S 3rd St, Altamont, IL 62411-1101 | 2007-02-15 |
| 1558545467 | Carla Beck | Early Intervention Provider Agency | 12 S 3rd St, Altamont, IL 62411-1102 | 2007-12-27 |
| 1336245315 | Altamont Ambulance Service, Inc. | Ambulance | 2 S Main St, Altamont, IL 62411-1134 | 2006-09-16 |
| 1568449098 | Robert W Frost | Family Medicine | 3 Do It Dr, Altamont, IL 62411-1135 | 2005-12-27 |
| 1679108351 | Hshs Medical Group Inc | Clinic/Center | 3 Do It Dr, Altamont, IL 62411-1135 | 2020-03-03 |
| 1366930281 | Springfield Clinic LLP | Clinical Medical Laboratory | 3 Do It Dr, Altamont, IL 62411-1135 | 2018-04-26 |
| 1609322585 | Tammy L. Sasse | Nurse Practitioner | 3 Do It Dr, Altamont, IL 62411-1135 | 2016-08-30 |
| Find all providers in zip 62411 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972823631 | Springfield Clinic LLP | Clinic/Center | 3 Do It Drive, Altamont, IL 62411 | 2010-06-04 |
| 1679108351 | Hshs Medical Group Inc | Clinic/Center | 3 Do It Dr, Altamont, IL 62411-1135 | 2020-03-03 |
| 1861920662 | Labette County Medical Center | Clinic/Center | 607 E 4th St, Altamont, KS 67330-6420 | 2017-05-24 |
| 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.