Herrin Clinic LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERRIN CLINIC LTD

Practice address

220 S Park Ave
Herrin, IL 62948

Phone

(618) 988-9777

Fax

(618) 988-9097

NPI assigned

Jan 29, 2008

Last updated

Jul 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ann Robinette

Title

Office Manager

Phone

(618) 988-9777

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1336326677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1130",
            "address_2": "220 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "62948",
            "telephone_number": "618-988-9777",
            "fax_number": "618-988-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "62948",
            "telephone_number": "618-988-9777",
            "fax_number": "618-988-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRIN CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "ROBINETTE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-988-9777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00114531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10032030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Henderson, RN
• Jessie Henson, NP
• Dena Giacone Hentrich, RPH
• Luke Thomas Hentrich
• Alyissa D Hentz
• Herrin Community Unit Dist 4
• Herrin Community Unit School District No 4
• Herrin Dental LLC (Weekend Dental)
• Herrin Drug Inc
• Herrin Drug Inc (Herrin Drug)

• Family Medicine Physician in Herrin, IL
• Providers in Herrin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.