COMMUNITY MEDICAL CLINIC OF ASSUMPTION
NPI 1396106910
Family Medicine in Assumption, IL

Active since March 09, 2016CLIA 14D0981168 · Waiver
118 N. WALNUT, ASSUMPTION, IL 62510(217) 226-3133(217) 226-4311 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Medical Clinic Of Assumption NPPES

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

COMMUNITY MEDICAL CLINIC OF ASSUMPTION (NPI 1396106910) is a healthcare organization registered as a family medicine in Assumption, Illinois and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Lisa Bloemer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396106910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePANA COMMUNITY HOSPITAL ASSOCIATION
Location Address118 N. WALNUTAssumption, IL 62510-1082
Mailing Address118 N. WalnutAssumption, IL 62510-1082 · (217) 226-3133 · Fax (217) 226-4311
Fax(217) 226-4311
Organization SubpartYes
Authorized OfficialLisa BloemerPractice Manager · (217) 562-6246
Enumeration DateMarch 9, 2016
NPI 1396106910 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.
118 N. WALNUT, Assumption, IL 62510

Other Names 1

Doing Business AsCommunity Medical Clinic Of Assumption

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 14D0981168

Community Medical Clinic Of Assumption · Assumption, IL
Active · expires Dec 18, 2026
CLIA Number14D0981168
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorWalter H. Cunnington MD
Laboratory Phone(217) 226-3133
Laboratory LocationCommunity Medical Clinic Of Assumption118 North Walnut Street, Assumption, IL 62510
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pana Community Hospital Association's NPI number?

The NPI number for Pana Community Hospital Association is 1396106910. It was assigned to this organization in the NPPES registry on March 9, 2016. The provider is doing business as Community Medical Clinic Of Assumption.

Where is Pana Community Hospital Association located?

Pana Community Hospital Association is located at 118 N. Walnut, Assumption, IL 62510. The listed phone number is (217) 226-3133.

What is Pana Community Hospital Association's specialty?

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

Does Pana Community Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0981168) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pana Community Hospital Association was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.