Mid-Illinois Medical Care Associates, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC

Doing business as

Altamont Clinic

Practice address

5 E Cumberland Rd
Altamont, IL 62411-1271

Phone

(618) 483-6151

Fax

(618) 483-6153

NPI assigned

Oct 11, 2007

Last updated

Jul 21, 2022By 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 LLC

Phone

(217) 347-5917

Specialties & licenses 1

Addresses

Other names 2

• Altamont Clinic Doing business as
• Altamont Medical Center Other name

Part of

Mid-Il Medical Care Assoc

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770771024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NETWORK CENTRE DR STE 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": "5 E CUMBERLAND RD",
            "city": "ALTAMONT",
            "state": "IL",
            "postal_code": "624111271",
            "telephone_number": "618-483-6151",
            "fax_number": "618-483-6153"
        }
    ],
    "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": "2007-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUST",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT OF LLC",
        "authorized_official_telephone_number": "217-347-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altamont Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altamont Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altamont Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kremer Pharmacy Inc.
• Kremer Pharmacy Inc. (Kremer Pharmacy Altamont LTC)
• Lutheran Care Center
• Heather Dawn McDaniel, OTR/L
• Rebecca L Merten, NP
• April R Moeller, LPTA
• Lori L. Niemerg, OTR/L
• John P. Opilka, D.O.
• Kristyn Margaret Rosenkoetter, DPT
• Amy D Ruckman, PEL

• Rural Health Clinic/Center in Altamont, IL
• Providers in Altamont, 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 Jul 21, 2022; 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.