Effingham Open MRI, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

EFFINGHAM OPEN MRI, LLC

Practice address

500 N Maple St Ste a
Effingham, IL 62401-2005

Phone

(217) 347-6736

Fax

(217) 347-5573

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

David R. Horace

Title

Manager

Phone

(217) 347-6736

Specialties & licenses 1

Addresses

Other names 1

• Ameriscan CT & MRI, LLC Doing business as

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1356563589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAPLE ST STE A",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012005",
            "telephone_number": "217-347-6736",
            "fax_number": "217-347-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAPLE ST STE A",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012005",
            "telephone_number": "217-347-6736",
            "fax_number": "217-347-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "HORACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-347-6736"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameriscan CT & MRI, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Effingham Hco, LLC
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• Effingham Healthcare & Senior Living LLC
• Effingham Obstetrics & Gynecology Associates SC
• Effingham Obstetrics and Gynecology Associates PLLC
• Effingham Ophthalmology Associates, LTD.
• Effingham Orthopedic Clinic SC
• Effingham Pelvic Health & Wellness, PLLC
• Effingham Sleep Center, Inc
• Effingham Suites, LLC

• Radiology Clinic/Center in Effingham, IL
• Providers in Effingham, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.