| Organization Name: | SARAH BUSH LINCOLN HEALTH CENTER |
| NPI Number: | 1043338189 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS PLUARD (CFO) |
| Mailing Address: | 200 Richmond Ave E Mattoon |
| State: | IL US |
| Postal Code: | 619384652 |
| Phone Number: | 2172355471 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |