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LEWIS MEMORIAL CHRISTIAN VILLAGE NPI 1417264391


NPI Information

NPI: 1417264391
Provider Name: LEWIS MEMORIAL CHRISTIAN VILLAGE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 14D0874909

Address:
3400 W WASHINGTON ST
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 787-9600
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LEWIS MEMORIAL CHRISTIAN VILLAGE is a preferred provider organization in Springfield, IL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. LEWIS MEMORIAL CHRISTIAN VILLAGE NPI is 1417264391. The provider is registered as an organization entity type.

The provider's business location address is:

3400 W WASHINGTON ST
SPRINGFIELD, IL
ZIP 62711-917
Phone: (217) 787-9600

The provider's authorized official is Susan Hensey .
The authorized official title is Pta and has the following contact phone number (217) 787-9600.

The CLIA number assigned to this NPI record is 14D0874909 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2010 and was last updated on 9/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization160003483ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.