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General NPI Number Information
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NPI Number | 1801970017
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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 | 10/24/2006
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Last Update Date | 01/07/2026
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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
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Country | US
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Telephone | 217-258-2411
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Fax | 217-258-4095
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Provider Business Mailing 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 | 61938-4644
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Country | US
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Telephone | 217-258-2411
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Fax | 217-258-4095
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MATTHEW CLIFTON
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Credential |
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Telephone | 217-258-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 054008478
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 054008478
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054008478
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License Number State | IL
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