JEFFERSON STREET CLINIC, SC
NPI 1366637258
Clinic/Center in Morton, IL

Active since September 13, 2007
107 E JEFFERSON STREET, MORTON, IL 61550(309) 266-9711(309) 266-6322 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jefferson Street Clinic, Sc NPPES

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

JEFFERSON STREET CLINIC, SC (NPI 1366637258) is a healthcare organization registered as a clinic/center in Morton, Illinois and active in the NPI registry since September 2007. The organization lists Larry Stephen Patton, President, as its authorized official.

NPPES Registry Identity

NPI1366637258
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJEFFERSON STREET CLINIC, SC
Location Address107 E JEFFERSON STREETMorton, IL 61550-0180
Mailing Address107 E Jefferson St, Po Box 180Morton, IL 61550-2001 · (309) 266-9711 · Fax (309) 266-6322
Fax(309) 266-6322
Organization SubpartNo
Authorized OfficialLarry Stephen PattonPresident · (309) 266-9711
Enumeration DateSeptember 13, 2007
NPI 1366637258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

107 E JEFFERSON STREET, Morton, IL 61550

Other Identifiers 2

Medicare UPIN962670IL
Other9015653IL · Blue Cross Blue Shield

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366637258, enumerated as an "organization" on September 13, 2007.

The provider is located at 107 E JEFFERSON STREET MORTON, IL 61550 and the phone number is (309) 266-9711.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.