Prairie Medical Pharmacy

LBN: Sarah Bush Lincoln Health Center
Prairie Medical Pharmacy is an health care organization with primary practice located at 1000 Health Center Dr , Mattoon IL 61938. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Sarah Bush Lincoln Health Center can be contacted via phone (217) 258-2411, or through Clifton, Matthew via phone (217) 258-2518.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938
Phone: (217) 258-2411
Fax: (217) 258-4095
Website:
Map and Directions
Authorized official contact:
Name: Clifton, Matthew
Phone: (217) 258-2518

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054008478 Illinois
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 054008478 Illinois
Suppliers / Specialty Pharmacy 3336S0011X 054008478 Illinois

Profile Details

NPI number 1801970017
LBN Legal business name Sarah Bush Lincoln Health Center
DBA Doing business as Prairie Medical Pharmacy
Authorized official Clifton, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2006
Last updated Apr 26th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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