Whispering Pines Health Center, Inc.
Organization Active NPI Primary Care Clinic/Center · Arcola, IL
NPI 1104197599 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1104197599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- WHISPERING PINES HEALTH CENTER, INC.
- Practice address
- 600 East C.R. 300 North
Arcola, IL 61910-3785 - Phone
- (217) 268-5008
- Fax
- (217) 268-5010
- NPI assigned
- Jan 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Virginia A. Wade, M.D.
- Title
- Ceo
- Phone
- (217) 268-5008
Practitioners 1
-
Virginia A Wade, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120215000536 | IL | Part B Supplier - Clinic/Group Practice | 1658539036 |
Receives reassigned benefits from 1 practitioner Practice locations: Arcola, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
600 East C.R. 300 North
Arcola, IL 61910-3785
Mailing address
600 East C.R. 300 North
Arcola, IL 61910-3785
Phone (217) 268-5008
Other providers in Arcola, IL
- Ryan Scott Shonkwiler
- Tiffany Rachelle Shull
- Stephen & Fred Shrader PTR
- Valerie Sue Traub
- Virginia A Wade
All providers in Arcola, IL · Primary Care Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.