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CARLINVILLE MEDICAL CLINIC INC. NPI 1730213026


NPI Information

NPI: 1730213026
Provider Name: CARLINVILLE MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
604 N. BROAD
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-9411
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CARLINVILLE MEDICAL CLINIC, INC. is a family medicine in Carlinville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CARLINVILLE MEDICAL CLINIC, INC. NPI is 1730213026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

604 N. BROAD
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-9411
Fax: (217) 854-2858

The provider's authorized official is Margie Busby .
The authorized official title is Office Manager and has the following contact phone number (217) 854-9411.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/4/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209000907ILLINOISNo
2207Q00000XFamily Medicine036057724ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036057724MEDICAIDILLINOIS

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: 5/5/2024

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