Midwest Care Vandalia LLC
Organization Active NPI Point of Service · Vandalia, IL
NPI 1295069128 · NPPES record last updated Sep 24, 2009
Key facts
- NPI
- 1295069128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- Legal business name
- MIDWEST CARE VANDALIA LLC
- Practice address
- 1607 W Fillmore St
Vandalia, IL 62471-3112 - Phone
- (618) 283-9825
- NPI assigned
- Sep 24, 2009
- Organization subpart
- No
Authorized official
- Name
- Howard Kang
- Title
- VP of Accounting and Finance
- Phone
- (541) 747-3373
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Yes |
Addresses
Primary practice location
1607 W Fillmore St
Vandalia, IL 62471-3112
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Other providers in Vandalia, IL
- Megan Brianne McDowell
- MCS Counseling Services
- Jodi Lynn Meyer
- Mid America Dental LLC
- Midamerica Center for Dental Wellness & Aesthetics PC
- Gabrielle Marie Miller
- Elizabeth M Mills
- Joleen Elizabeth Murray
- Chester Nay
- Collin Jacob Nestleroad
All providers in Vandalia, IL · Point of Service in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.