MAINWAY MEDICAL LLC (NPI# 1770973430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770973430 |
| Entity Type | Organization |
| Organization Name | MAINWAY MEDICAL LLC |
| Practice Address |
3805 Nw Territory Dr Springfield IL 62711-8241 |
| Practice Telephone | 2173709866 |
| Mailing Telephone | 2173709866 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | ANGELA FRANCES TROWBRIDGE (CEO) |
| Authorized Official Telephone | 2173709866 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | IL | Transportation Services |
| Street Address |
3805 NW TERRITORY DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-8241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518464569 | Building Bridges Family Therapy, Ltd. | Social Worker | 3805 Nw Territory Dr, Springfield, IL 62711-8241 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299119 | Fatma Kibodya | Private Vehicle | 10 Lindsay Rd, Springfield, MA 01128-1187 | 2016-12-14 |
| 1174870968 | Lizianette Gilbes Arroyo | Private Vehicle | 94 Oswego St, Springfield, MA 01105-2165 | 2012-08-10 |
| 1891007118 | Sunrise-amanecer, Inc. | Private Vehicle | 19 Milford St, Springfield, MA 01107-1332 | 2010-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223703 | Jimmy D Hill | Private Vehicle | 300 W Bond Ave Apt 11, Patoka, IL 62875-1044 | 2020-10-23 |
| 1033716675 | Tuwana Hunter | Private Vehicle | 512 N Jackson St, Waukegan, IL 60085-3848 | 2020-10-07 |
| 1407462336 | Connect Care Trans LLC | Private Vehicle | 2454 W Peterson Ave, Chicago, IL 60659-4113 | 2020-09-16 |
| 1437769577 | Steven Walls | Private Vehicle | 12 Chatham Cir, Kankakee, IL 60901-5802 | 2020-08-04 |
| 1275166514 | Ira Lee Williams | Private Vehicle | 9801 S Karlov Ave Apt 203, Oak Lawn, IL 60453-3443 | 2020-02-14 |
| 1033740477 | Karriage Incorporated | Private Vehicle | 8314 W 95th St, Hickory Hills, IL 60457-1951 | 2020-02-03 |
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1972147627 | Td Reliable Transport LLC | Private Vehicle | 1462 Legacy Dr Unit 4, Dekalb, IL 60115-2078 | 2019-11-05 |
| 1225670151 | Margaret Sharice Ward | Private Vehicle | 1995 W Meadowview Dr, Round Lake, IL 60073-9793 | 2019-10-11 |
| 1427699081 | Tb Transportation Enterprise Inc | Private Vehicle | 4114 W Gladys Ave, Chicago, IL 60624-3284 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
Please comment or provide details below to improve the information on MAINWAY MEDICAL 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.