Cowden Medical Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

209-003495 Issued in IL

Legal business name

COWDEN MEDICAL CLINIC LLC

Practice address

209 E Elm Street
Cowden, IL 62422

Phone

(217) 783-6565

Fax

(217) 783-6577

NPI assigned

Nov 7, 2006

Last updated

Jan 20, 2022By 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. Cindy Lea Rich, APN CNPNPI 1639248552

Title

Family Nurse Practitioner

Phone

(217) 783-6565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Pana Community Hospital Association

  dba Cowden Medical Group

  • Rural Health Clinic/Center
  • Cowden, IL
  • NPI 1720710437

  Sold to, 2022-08-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cindy Lea Rich, APN CNP

  • Family Nurse Practitioner
  • Cowden, IL
  • NPI 1639248552
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1356410781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E ELM STREET",
            "address_2": "PO BOX 154",
            "city": "COWDEN",
            "state": "IL",
            "postal_code": "62422",
            "telephone_number": "217-783-6565",
            "fax_number": "217-783-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E ELM STREET",
            "city": "COWDEN",
            "state": "IL",
            "postal_code": "62422",
            "telephone_number": "217-783-6565",
            "fax_number": "217-783-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWDEN MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "217-783-6565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN CNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "209-003495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseun Asmau Akorede
• Cowden Herrick Cusd 3a
• Cowden-Herrick Cusd 3a
• Pana Community Hospital Association (Cowden Medical Group)
• Cindy Lea Rich, APN CNP
• Kelcie Taylor West, FNP-C
• Morgan Elizabeth Westjohn

• Rural Health Clinic/Center in Cowden, IL
• Providers in Cowden, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.