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: August 30, 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 NPPES & CMS

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

What is Jefferson Street Clinic, Sc's NPI number?

The NPI number for Jefferson Street Clinic, Sc is 1366637258. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Jefferson Street Clinic, Sc located?

Jefferson Street Clinic, Sc is located at 107 E Jefferson Street, Morton, IL 61550. The listed phone number is (309) 266-9711.

What is Jefferson Street Clinic, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Street Clinic, Sc was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.