DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BAILEY KOEFOED

MEDICARE: BAILEY KOEFOED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1073304622
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY KOEFOED
Provider Business Mailing Address
First Line : 520 N 4TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702-5238
Country : US
Telephone Number : 217-545-8000
Fax Number :
Provider Business Practice Location Address
First Line : 520 N 4TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702-5238
Country : US
Telephone Number : 217-545-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 12/15/2025

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:
2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908
Practice Phone: 701-922-1000
Practice Fax: 703-922-1039
1841921814 — DR. AIMEE RACHEL PAMPE BAKER DO
Practice Location Address:
520 N 4TH ST
SPRINGFIELD, IL
62702-5238
Practice Phone: 217-757-8197
Practice Fax:
1023006913 — JANET R ALBERS M.D.
Practice Location Address:
520 N 4TH ST
SPRINGFIELD, IL
62702-5238
Practice Phone: 217-545-8000
Practice Fax: 217-757-8161
1154310027 — TRACY A ALDRIDGE M.D.
Practice Location Address:
520 N 4TH ST
SPRINGFIELD, IL
62702-5238
Practice Phone: 217-757-8100
Practice Fax: 217-757-8161
1215926183 — AMBER J BARNHART M.D.
Practice Location Address:
520 N 4TH ST
SPRINGFIELD, IL
62702-5238
Practice Phone: 217-757-8100
Practice Fax: 217-757-8161
1568451946 — CAREYANA M BRENHAM M.D.
Practice Location Address:
520 N 4TH ST
SPRINGFIELD, IL
62702-5238
Practice Phone: 217-757-8100
Practice Fax: 217-757-8161

Directions to “ BAILEY KOEFOED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.