NPIMap

Organization Active NPI

Sarah Bush Lincoln Health Center

  • Dental Clinic/Center
  • Mattoon, IL
National Provider Identifier
1114198744
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SARAH BUSH LINCOLN HEALTH CENTER
Practice address
225 Richmond Ave E Ste B
Mattoon, IL 61938-4651
Phone
(217) 235-0800
Fax
(217) 235-0801
NPI assigned
Mar 24, 2008
Organization subpart
Yes
Parent organization
SARAH BUSH LINCOLN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mr. Sean Fischer
Title
VP Finance and Cfo
Phone
(217) 258-2591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651

Mailing address

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651
Phone (217) 235-0800

Other names 1

  • Sarah Bush Lincoln Dental Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sarah Bush Lincoln H C10 organizations share this tax ID, including this one
Part of
Sarah Bush Lincoln H C

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 Richmond Ave E
Ste B
Mattoon, IL 61938
Phone (217) 235-0800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1114198744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384651",
            "telephone_number": "217-235-0800",
            "fax_number": "217-235-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384651",
            "telephone_number": "217-235-0800",
            "fax_number": "217-235-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH BUSH LINCOLN HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARAH BUSH LINCOLN HEALTH CENTER",
        "enumeration_date": "2008-03-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "VP FINANCE AND CFO",
        "authorized_official_telephone_number": "217-258-2591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Bush Lincoln Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.