Mid-Illinois Medical Care Associates, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC

Practice address

512 N Maple St
Effingham, IL 62401-2005

Phone

(217) 347-7030

Fax

(217) 347-7049

NPI assigned

Oct 22, 2007

Last updated

Jun 27, 2017By 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 1

• Drs. Bishop and Flynn Other name

Part of

Mid-Il Medical Care Assoc

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1841489200",
    "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": "624012186",
            "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": "512 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012005",
            "telephone_number": "217-347-7030",
            "fax_number": "217-347-7049"
        }
    ],
    "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": "2007-10-22",
        "last_updated": "2017-06-27",
        "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": "Drs. Bishop and Flynn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medadvance Illinois PLLC
• Elizabeth L Meinhart, FNP-BC
• Margaret Jane Merry-Niebrugge, DMD
• Ashley Lynn Meseke, DPT
• Mid-Illinois Medical Care Associates, LLC
• Mid-Illinois Medical Care Associates, LLC
• Midwest Care Effingham Estates LLC
• Midwest Sleep Inc
• Amber Miller, MSW
• Bobbie J. Miller, PA-C

• Rural Health Clinic/Center in Effingham, IL
• Providers in Effingham, 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 Jun 27, 2017; 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.