Sarah Bush Lincoln Health Center
Clinic/Center, Dental in Mattoon, IL. Organization (NPI-2).
NPI number1114198744
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1114198744
- Entity type
- Organization (NPI-2)
- Legal business name
- Sarah Bush Lincoln Health Center
- Organization subpart
- Yes
- Enumeration date
- Mar 24, 2008
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Sarah Bush Lincoln Dental Services (Doing Business As)
Practice location
225 Richmond Ave E Ste BMattoon, IL 61938-4651
Phone 217-235-0800 · Fax 217-235-0801
Mailing address
225 Richmond Ave E Ste BMattoon, IL 61938-4651
Phone 217-235-0800 · Fax 217-235-0801
Authorized official
Sean Fischer
Vp Finance And Cfo
2172582591
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