Healthcare Network Associates of Sangamon, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HEALTHCARE NETWORK ASSOCIATES OF SANGAMON, PC

Practice address

701 N 1St St
Springfield, IL 62781-0001

Phone

(217) 757-7491

Fax

(217) 757-2021

NPI assigned

Feb 8, 2006

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert T Clarke

Title

President and Ceo

Phone

(217) 788-3340

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1558334763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "217-757-7491",
            "fax_number": "217-757-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-757-7491",
            "fax_number": "217-757-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE NETWORK ASSOCIATES OF SANGAMON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "217-788-3340"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CE8722",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CG1144",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE N.P. GROUP",
            "identifier": "797350",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "CE9939",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CE7885",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthcare Network Associates
• Healthcare Network Associates (SportsCare of Illinois)
• Healthcare Network Associates of Sangamon (Koke Mill Medical Associates)
• Healthcare Network Associates of Sangamon (Memorial Express Care at Koke Mill)
• Healthcare Network Associates of Sangamon, PC
• Healthcare Network Associates of Sangamon, PC
• Laura Carrihill Healy, MD
• Shanteria Heard-Phillips
• Heart 4 Heart Inc (Personal Mobility)
• Heart 4 Heart Inc. (Personal Mobility)

• Multi-Specialty Clinic/Center in Springfield, IL
• Providers in Springfield, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.