Organization · Type 2 NPI
Mattoon Estates North, LLC
Point of Service · Mattoon, IL
NPI number
1184820748
Active
Practice location
1920 Brookstone Ln
Mattoon, IL 61938-6105
Fax (217) 235-5878
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
3 other providers at this address
Other point of service providers in Mattoon
About NPI 1184820748
Mattoon Estates North, LLC's National Provider Identifier is 1184820748, issued on Jun 21, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Mattoon, IL. The record was last updated on May 13, 2008.