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SARAH BUSH LINCOLN HEALTH CENTER NPI 1801970017


NPI Information

NPI: 1801970017
Provider Name: SARAH BUSH LINCOLN HEALTH CENTER

Doing Business As: PRAIRIE MEDICAL PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1000 HEALTH CENTER DR
MATTOON, IL
ZIP 61938
Phone: (217) 258-2411
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SARAH BUSH LINCOLN HEALTH CENTER is a pharmacy in Mattoon, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SARAH BUSH LINCOLN HEALTH CENTER NPI is 1801970017. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Medical Pharmacy.

The provider's business location address is:

1000 HEALTH CENTER DR
MATTOON, IL
ZIP 61938
Phone: (217) 258-2411
Fax: (217) 258-4095

The provider's authorized official is Matthew Clifton .
The authorized official title is Director Of Pharmacy and has the following contact phone number (217) 258-2518.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/26/2022.


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
13336H0001XPharmacyHome Infusion Therapy Pharmacy054008478ILLINOISNo
23336S0011XPharmacySpecialty Pharmacy054008478ILLINOISNo
3333600000XPharmacy054008478ILLINOISYes

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

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.