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General NPI Number Information
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NPI Number | 1598068793
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD CLINIC LLP
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 15 FOUNDERS LN
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City | JACKSONVILLE
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State | IL
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Zip | 62650-3919
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Country | US
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Telephone | 217-291-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 S 6TH ST
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City | SPRINGFIELD
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State | IL
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Zip | 62703-2403
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Country | US
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Telephone | 217-528-7541
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Fax |
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Authorized Official
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Title or Position | CHIEF STRATEGY OFFICER
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Name | CAL ROBERT THOMAS
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Credential |
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Telephone | 217-528-7541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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