| Organization Name: | SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES |
| NPI Number: | 1164514238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS PLUARD (CFO & VP OF OPERATIONS) |
| Mailing Address: | 300 Coles Centre Parkway Mattoon |
| State: | IL US |
| Postal Code: | 619389375 |
| Phone Number: | 2172350660 |
| Fax Number: | 2172350306 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 203000594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |