NPIMap

Organization Active NPI

Penny Attaway

  • Rural Health Clinic/Center
  • Vandalia, IL
National Provider Identifier
1528185170
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
209001693 Issued in IL
Legal business name
PENNY ATTAWAY
Doing business as
Medical Servics Unlimited
Practice address
1404 N 5TH St
Vandalia, IL 62471-1039
Phone
(618) 283-2000
Fax
(618) 283-2002
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Penny Attaway
Title
DNP
Phone
(618) 971-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 209001693 IL Primary

Addresses

Primary practice location

1404 N 5TH St
Vandalia, IL 62471-1039

Mailing address

1404 N 5TH St
Vandalia, IL 62471-1039
Phone (618) 283-2000

Other identifiers 1

IdentifierTypeStateIssuer
L040233OtherILTRICARE

Other names 1

  • Medical Servics Unlimited Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1528185170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N 5TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711039",
            "telephone_number": "618-283-2000",
            "fax_number": "618-283-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N 5TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711039",
            "telephone_number": "618-283-2000",
            "fax_number": "618-283-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY ATTAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "ATTAWAY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "618-971-1440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "209001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "L040233",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Servics Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.