Active NPI
Mainway Medical LLC
- Private Vehicle
- Springfield, IL
National Provider Identifier
1770973430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- MAINWAY MEDICAL LLC
- Practice address
- 3805 NW Territory Dr
Springfield, IL 62711-8241 - Phone
- (217) 370-9866
- NPI assigned
- Feb 2, 2015
- Last updated
- Feb 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Frances Trowbridge, LCSW
- Title
- Ceo
- Phone
- (217) 370-9866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | IL | Primary |
Addresses
Primary practice location
3805 NW Territory Dr
Springfield, IL 62711-8241
Mailing address
3805 NW Territory Dr
Springfield, IL 62711-8241
Phone (217) 370-9866
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Springfield, IL
- NPI 1326466996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1770973430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 NW TERRITORY DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118241",
"telephone_number": "217-370-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 NW TERRITORY DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627118241",
"telephone_number": "217-370-9866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINWAY MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "TROWBRIDGE",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "FRANCES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "217-370-9866",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.