Burnsides Community Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BURNSIDES COMMUNITY HEALTH CENTER

Practice address

410 N 2ND St
Marshall, IL 62441-1010

Phone

(217) 826-2358

Fax

(217) 826-2367

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By 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

Mr. Sean Medsker

Title

Administrator

Phone

(217) 826-2358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881720175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 2ND ST",
            "address_2": "PO BOX 219",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624411010",
            "telephone_number": "217-826-2358",
            "fax_number": "217-826-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 2ND ST",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624411010",
            "telephone_number": "217-826-2358",
            "fax_number": "217-826-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSIDES COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDSKER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-826-2358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D Reed (Medicine Shoppe)
• Asssociated Physicians & Surgeons Clinic, LLC
• Abidemi Balogun, PMHNP
• Emma Brown, MS, ATC
• Burnsides Community Health Center, NFP (Burnsides Community Health Center)
• Jessica Nicole Cannady, CCC-SLP
• Core Wellness Physical Therapy, PLLC
• County of Clark
• Barbara Michelle Edwards, LCSW, CADAC III MATS

• Skilled Nursing Facility in Marshall, IL
• Providers in Marshall, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.