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General NPI Number Information
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NPI Number | 1669564662
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Entity Type | Organization
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Legal Business Name | SARAH BUSH LINCOLN HEALTH CENTER
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1000 HEALTH CENTER DR
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City | MATTOON
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State | IL
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Zip | 61938-9253
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Country | US
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Telephone | 217-258-2525
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 372
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City | MATTOON
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State | IL
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Zip | 61938-0372
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | SEAN FISCHER
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Credential | CFO
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Telephone | 217-258-2591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0003392
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License Number State | IL
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