MONCLAIR FAMILY PRACTICE
NPI 1043774342
Family Medicine in Columbia, IL

Q: What is Monclair Enterprises, Inc.'s NPI number?

The NPI number for Monclair Enterprises, Inc. is 1043774342. It was assigned to this organization in the NPPES registry on January 31, 2019. The provider is doing business as Monclair Family Practice.

Q: What is Monclair Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 31, 2019CLIA 14D2163599 · Waiver

1000 ELEVEN S STE 2B, COLUMBIA, IL 62236(618) 281-7010(949) 543-2846 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2024, Oct 6, 2019, Jun 8, 2019 and 2 more (5 updates tracked since 2019).

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About Monclair Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONCLAIR FAMILY PRACTICE (NPI 1043774342) is a healthcare organization registered as a family medicine in Columbia, Illinois and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Tami Boren, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1043774342

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMONCLAIR ENTERPRISES, INC.

Location Address1000 ELEVEN S STE 2BColumbia, IL 62236-1079

Mailing Address1000 Eleven S Ste 2bColumbia, IL 62236-1079 · (618) 281-7010 · Fax (618) 281-7009

Phone(618) 281-7010

Fax(949) 543-2846

Organization SubpartNo

Authorized OfficialTami BorenOwner/president · (618) 281-7010

Enumeration DateJanuary 31, 2019

Last NPPES UpdateJune 23, 20245 updates tracked since enumeration

NPPES CertifiedJune 23, 2024

✔ NPI 1043774342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 ELEVEN S STE 2B, Columbia, IL 62236

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Other Names 1

Doing Business AsMonclair Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2163599

Monclair Family Practice · Columbia, IL

Active · expires Mar 17, 2027

CLIA Number14D2163599

Laboratory TypePractitioner Other

Certificate Effective DateMarch 18, 2025

Certificate Expiration DateMarch 17, 2027

Laboratory DirectorTami L. Boren

Laboratory Phone(618) 772-1515

Laboratory LocationMonclair Family Practice1000 Eleven S - Ste 2B, Columbia, IL 62236

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMI BOREN FNP - C

Nurse Practitioner (Family)

1000 ELEVEN S STE 2B
COLUMBIA, IL 62236

Monroe County (618) 772-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monclair Enterprises, Inc.'s NPI number?

The NPI number for Monclair Enterprises, Inc. is 1043774342. It was assigned to this organization in the NPPES registry on January 31, 2019. The provider is doing business as Monclair Family Practice.

Where is Monclair Enterprises, Inc. located?

Monclair Enterprises, Inc. is located at 1000 Eleven S Ste 2B, Columbia, IL 62236. The listed phone number is (618) 281-7010.

What is Monclair Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Monclair Enterprises, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2163599) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monclair Enterprises, Inc. was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.