Active NPI
Nolen Clinic LTD.
- Health Service Clinic/Center
- West Frankfort, IL
National Provider Identifier
1326348152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 038003613
- Legal business name
- NOLEN CLINIC LTD.
- Practice address
- 107 S Van Buren St
West Frankfort, IL 62896-2907 - Phone
- (618) 937-4164
- Fax
- (618) 932-3203
- NPI assigned
- Oct 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Alan Nolen, D.C.
- Title
- President
- Phone
- (618) 937-4164
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 038003613 | IL | Primary |
Addresses
Primary practice location
107 S Van Buren St
West Frankfort, IL 62896-2907
Mailing address
PO Box 8
West Frankfort, IL 62896-0008
Phone (618) 937-4164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1000 Factory Outlet Blvd
Ste 111
West Frankfort, IL 62896
Phone (618) 932-4164
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- West Frankfort, IL
- NPI 1376559062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288137600000",
"number": "1326348152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628960008",
"telephone_number": "618-937-4164",
"fax_number": "618-932-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S VAN BUREN ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962907",
"telephone_number": "618-937-4164",
"fax_number": "618-932-3203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOLEN CLINIC LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A",
"authorized_official_last_name": "NOLEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-937-4164",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IL",
"license": "038003613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.