NPIMap

Organization Active NPI

Toofan Medical Holdings, LTD

Doing business as Central Illinois Urgent Care

  • Urgent Care Clinic/Center
  • Mattoon, IL
National Provider Identifier
1396578092
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOOFAN MEDICAL HOLDINGS, LTD
Doing business as
Central Illinois Urgent Care
Practice address
1019 Charleston Ave E
Mattoon, IL 61938-6226
Phone
(217) 994-9301
Fax
(217) 994-9304
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dr. Paul A Toofan, MDNPI 1013989805
Title
President
Phone
(217) 994-9301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1019 Charleston Ave E
Mattoon, IL 61938-6226

Mailing address

1019 Charleston Ave E
Mattoon, IL 61938-6226
Phone (217) 994-9301

Other names 1

  • Central Illinois Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424002600 IL DME Supplier - Multi-Specialty - Physician 6800026006 Practice locations: Mattoon, IL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2311611Central Illinois Urgent Care1019 Charleston Ave E, Mattoon, IL 61938Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Toofan Medical Holdings LTD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

Ste E
1019 Charleston Ave
IL 61938

1019 Charleston Ave E
Mattoon, IL 61938
Phone (217) 508-4940

1510 W Springfield Rd
Ste A
Taylorville, IL 62568
Phone (217) 824-8244

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1396578092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CHARLESTON AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386226",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CHARLESTON AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386226",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOFAN MEDICAL HOLDINGS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "TOOFAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-994-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Illinois Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.