MEDICARE: CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08726591	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1518993930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.

Provider Business Mailing Address
First Line	:	901 N MAPLE ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-6401
Country	:	US
Telephone Number	:	217-347-2900
Fax Number	:	217-347-2922

Provider Business Practice Location Address
First Line	:	901 N MAPLE ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-6401
Country	:	US
Telephone Number	:	217-347-2900
Fax Number	:	217-347-2922

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOMINIC CHARLES IMBURGIA
Credential	:	M.D.
Telephone Number	:	217-347-2900

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	08/14/2007

Similar Medicare Providers

1588273916 — MARY JO BIERMAN APN
Practice Location Address:

905 N MAPLE ST
EFFINGHAM, IL
62401-6401

Practice Phone: 217-258-4186
Practice Fax:

1942208087 — DR. PAUL D. OLTMAN M.D.
Practice Location Address:

905 N MAPLE ST STE D
EFFINGHAM, IL
62401-6401

Practice Phone: 217-347-7776
Practice Fax: 217-347-7526

1407816044 — DR. SEAN F. FLYNN M.D.
Practice Location Address:

905 N MAPLE ST STE E
EFFINGHAM, IL
62401-6401

Practice Phone: 217-347-7030
Practice Fax: 217-347-7197

1114955960 — DOMINIC CHARLES IMBURGIA M.D.
Practice Location Address:

901 N MAPLE ST
EFFINGHAM, IL
62401-6401

Practice Phone: 217-347-2900
Practice Fax: 217-347-2922

1134660590 — KENDRA ZERRUSEN APN, FNP-BC
Practice Location Address:

905 N MAPLE ST STE E
EFFINGHAM, IL
62401-6401

Practice Phone: 217-347-7030
Practice Fax: 217-347-7197

1467951699 — SARAH BUSH LINCOLN HEALTH CENTER
Practice Location Address:

903 N MAPLE ST
EFFINGHAM, IL
62401-6401

Practice Phone: 217-347-7372
Practice Fax:

Directions to “CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C. ” 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 © 2007-2026 (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.