MEDICARE: SARAH BUSH LINCOLN HEALTH CENTER

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	203.001989	IL

General Provider Information

NPI Number	:	1467951699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH BUSH LINCOLN HEALTH CENTER

Provider Business Mailing Address
First Line	:	300 COLES CENTRE PKWY
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-9375
Country	:	US
Telephone Number	:	217-235-0660
Fax Number	:

Provider Business Practice Location Address
First Line	:	903 N MAPLE ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-6401
Country	:	US
Telephone Number	:	217-347-7372
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE AND CFO
Name	:	SEAN FISCHER
Credential	:
Telephone Number	:	217-258-2591

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	08/04/2025

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