Mid-Illinois Medical Care Associates, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

036108589 Issued in IL

Legal business name

MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC

Doing business as

Dr. George Saliba

Practice address

910 S Van Buren St
Newton, IL 62448-1727

Phone

(618) 783-3800

Fax

(618) 783-5070

NPI assigned

Mar 23, 2009

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Eugene P. Dust, M.D.

Title

President of Mid-Illinois Medical C

Phone

(217) 347-2707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. George Saliba Doing business as

Part of

Mid Illinois Medical Ca

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1366683252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NETWORK CENTRE DR",
            "address_2": "SUITE 3",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014632",
            "telephone_number": "217-347-2707",
            "fax_number": "217-347-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S VAN BUREN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481727",
            "telephone_number": "618-783-3800",
            "fax_number": "618-783-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC",
        "enumeration_date": "2009-03-23",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "DUST",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT OF MID-ILLINOIS MEDICAL C",
        "authorized_official_telephone_number": "217-347-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "036108589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108589",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. George Saliba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamee Matson, RN, BS
• Stephanie McGuire, BA
• Sarah McWhorter
• Jade N Mellen, BA, BS
• Anna Rose Mette, DPT
• Mid-Illinois Medical Care Associates, LLC (Mid Illinois Quick Care)
• Courtney Miller, NP
• Jessica Rae Miller, M.S., CCC/SLP
• Nichole Ann Mulvey, M.A., CCC-SLP
• Shania Grace Newlin

• Rural Health Clinic/Center in Newton, IL
• Providers in Newton, 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 Mar 18, 2014; 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.