NPIMap

Organization Active NPI

Lewis Memorial Christian Village

  • Oxygen Equipment & Supplies (DME)
  • Springfield, IL
National Provider Identifier
1063654937
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0021436 Issued in IL
Legal business name
LEWIS MEMORIAL CHRISTIAN VILLAGE
Practice address
3400 W Washington St
Springfield, IL 62711-7917
Phone
(217) 793-4062
Fax
(217) 787-9601
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Susan McGhee
Title
Chief Financial Officer
Phone
(314) 587-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0021436 IL Primary

Addresses

Primary practice location

3400 W Washington St
Springfield, IL 62711-7917

Mailing address

3400 W Washington St
Springfield, IL 62711-7917
Phone (217) 793-4062

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1063654937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117917",
            "telephone_number": "217-793-4062",
            "fax_number": "217-787-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117917",
            "telephone_number": "217-793-4062",
            "fax_number": "217-787-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEMORIAL CHRISTIAN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "314-587-7903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0021436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.