Weber Medical Clinic LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WEBER MEDICAL CLINIC LTD

Practice address

1200 N East St
Olney, IL 62450-2499

Phone

(618) 395-5222

Fax

(618) 395-8552

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John L Reed

Title

Administrator

Phone

(618) 395-2223

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1093810350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EAST ST",
            "address_2": "WEBER MEDICAL CLINIC LTD",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER MEDICAL CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-395-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL4973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08015410",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronda June Walker, MHP
• John Wall
• Mary Melanie Waller, MD
• Walmart Inc.
• WC- Olney Eg Ops, LLC (Emerald Glen Olney)
• Weber Medical Clinic LTD (Weber Rural Health Clinic)
• Weber Medical Clinic LTD (Weber Clinic Pharmacy)
• Weber Medical Clinic Optical Shop
• Alyssa Weber
• Amy Webster, MA,MHP

• Clinic/Center in Olney, IL
• Providers in Olney, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.