NPIMap

Organization Active NPI

Toofan Medical Holdings, LTD

Doing business as Central Illinois Urgent Care

  • Rural Health Clinic/Center
  • Lincoln, IL
National Provider Identifier
1861177925
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TOOFAN MEDICAL HOLDINGS, LTD
Doing business as
Central Illinois Urgent Care
Practice address
602 Woodlawn Rd
Lincoln, IL 62656-1452
Phone
(217) 994-9301
Fax
(217) 994-9304
NPI assigned
Jun 16, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Dr. Paul A Toofan, MDNPI 1013989805
Title
President
Phone
(217) 994-9301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

602 Woodlawn Rd
Lincoln, IL 62656-1452

Mailing address

602 Woodlawn Rd
Lincoln, IL 62656-1452
Phone (217) 994-9301

Other names 1

  • Central Illinois Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030000553 IL Part A Provider - Rural Health Clinic 6800026006 Practice locations: Lincoln, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861177925. Details of each certification follow.

Rural health clinic certification: CCN 783866

Legal name
TOOFAN MEDICAL HOLDINGS, LTD
Doing business as
CENTRAL ILLINOIS URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 13, 2024
Last certification
Jun 13, 2024
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Aug 3, 2013 in IL
Enrollment address
602 Woodlawn Rd
Lincoln, IL 62656-1452

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Toofan Medical Holdings LTD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul a Toofan Individual 5% Or Greater Direct Ownership InterestPresident Feb 1, 2014 100%
Corporate OfficerPresident Feb 1, 2014
W-2 Managing EmployeePresident Feb 1, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Paul A Toofan, M.D.
    • Emergency Medicine Physician
    • Effingham, IL
    • NPI 1013989805

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1861177925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WOODLAWN RD",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561452",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WOODLAWN RD",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561452",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOFAN MEDICAL HOLDINGS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "TOOFAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-994-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Illinois Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, IL

Sources for this page

Verify at the official NPI Registry.