DR. MEGAN'S HEALTHCARE MINISTRIES LLC NPI 1285143354

NPI Information

NPI: 1285143354
Provider Name: DR. MEGAN'S HEALTHCARE MINISTRIES LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1201 MERIDEN ST
MENDOTA, IL
ZIP 61342
Phone: (815) 539-3739
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DR. MEGAN'S HEALTHCARE MINISTRIES LLC is a rural health clinic center in Mendota, IL. DR. MEGAN'S HEALTHCARE MINISTRIES LLC NPI is 1285143354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 MERIDEN ST
MENDOTA, IL
ZIP 61342-501
Phone: (815) 539-3739
Fax: (815) 539-3753

The provider's authorized official is Megan Roshell Kearney .
The authorized official title is Owner and has the following contact phone number (815) 539-3739.

The enumeration date for this NPI number is 9/21/2017 and was last updated on 6/11/2019.

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
1	207Q00000X	Family Medicine				No
2	207Q00000X	Family Medicine		290.015585	ILLINOIS	No
3	207QS0010X	Family Medicine	Sports Medicine			No
4	261QM1300X	Clinic/Center	Multi-Specialty			No
5	261QP2300X	Clinic/Center	Primary Care			No
6	261QU0200X	Clinic/Center	Urgent Care			No
7	261QR1300X	Clinic/Center	Rural Health			Yes

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

NPI Synchronization or Removal

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