St. Clara's Manor

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ST. CLARA'S MANOR

Practice address

200 5TH St
Lincoln, IL 62656-2619

Phone

(217) 735-1507

Fax

(217) 732-3188

NPI assigned

Nov 19, 2012

Last updated

Oct 18, 2016By 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

David Underwood, CPA

Title

Exec VP, Cfo

Phone

(309) 823-7135

Specialties & licenses 1

Addresses

Tax ID family

St Clara's Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St. Clara's Manor

  • Skilled Nursing Facility
  • Lincoln, IL
  • NPI 1346231198
  NPD tax ID

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1811231533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W JEFFERSON ST",
            "address_2": "SUIRTE 401",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013946",
            "telephone_number": "309-828-4361",
            "fax_number": "309-829-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626562619",
            "telephone_number": "217-735-1507",
            "fax_number": "217-732-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLARA'S MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXEC VP, CFO",
        "authorized_official_telephone_number": "309-823-7135",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Derrick Sneed, RPH
• Vihang Soni, MD
• Mary Ann Southerlan, RDH, PHDH
• Springfield Clinic, LLP
• St. Clara's Manor
• John H Steiger, LPTA
• Jamie L Steward, LCSW
• Symphony Maple Ridge LLC (Maple Ridge Care Centre)
• Elizabeth D. Talbert, APRN
• Tazwood Mental Health Center, Inc.

• Oxygen Equipment & Supplies (DME) in Lincoln, IL
• Providers in Lincoln, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.