Organization Active NPI

Central Illilnois Service Access

  • Case Management Agency
  • Lincoln, IL
National Provider Identifier
1386022333
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTRAL ILLILNOIS SERVICE ACCESS
Practice address
101 N Madigan Dr
Lincoln, IL 62656-5445
Phone
(217) 732-4731
Fax
(217) 732-4870
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mrs. Leanndra Keltner, QIDP
Title
Office Manager
Phone
(217) 732-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

101 N Madigan Dr
Lincoln, IL 62656-5445

Mailing address

101 N Madigan Dr
Lincoln, IL 62656-5445
Phone (217) 732-4731

National Provider Directory

National Provider Directory

Locations

101 N Madigan Dr
Lincoln, IL 62656
Phone (217) 732-4731

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1386022333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MADIGAN DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626565445",
            "telephone_number": "217-732-4731",
            "fax_number": "217-732-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MADIGAN DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626565445",
            "telephone_number": "217-732-4731",
            "fax_number": "217-732-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLILNOIS SERVICE ACCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "KELTNER",
        "authorized_official_first_name": "LEANNDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-732-4731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QIDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.