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MEMORIAL EXPRESS CARE AT KOKE MILL
NPI 1588675482
Clinic/Center - Multi-Specialty in Springfield, IL

Active since August 10, 2006
3132 OLD JACKSONVILLE RD, SUITE 110, SPRINGFIELD, IL 62704(217) 862-0062(217) 862-0064 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Memorial Express Care At Koke Mill NPPES

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

MEMORIAL EXPRESS CARE AT KOKE MILL (NPI 1588675482) is a healthcare organization registered as a multi-specialty in Springfield, Illinois and active in the NPI registry since August 2006. The organization lists William T Kendrick, Director, as its authorized official.

NPPES Registry Identity

NPI1588675482
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameHEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Location Address3132 OLD JACKSONVILLE RD, SUITE 110Springfield, IL 62704-7400
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 757-7491 · Fax (217) 757-2021
Phone(217) 862-0062
Fax(217) 862-0064
Organization SubpartNo
Authorized OfficialWilliam T KendrickDirector · (217) 757-7493
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1588675482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
3132 OLD JACKSONVILLE RD, Springfield, IL 62704
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Other Names 1

Doing Business AsMemorial Express Care At Koke Mill

Other Identifiers 2

Medicare ID-Type Unspecified313780IL
Medicare NSC1304260003IL

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

Other Providers at the Same Location NPPES 20

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

ALISSA DANIELLE SMITH NP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MELANIE R REYNOLDS FNP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0730
MRS. SHARON MARIE HOWARTH OTRLCHT
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
PEGGY JONES NP
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0871
LAVANYA KOLLURI M.D.
Internal Medicine
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0062
MS. MELISSA S LINDERMAN OTR
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
MEMORIAL PHYSICIAN SERVICES
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
DR. REBECCA D ANDERSON PHD
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400

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 Healthcare Network Associates Of Sangamon's NPI number?

The NPI number for Healthcare Network Associates Of Sangamon is 1588675482. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Memorial Express Care At Koke Mill.

Where is Healthcare Network Associates Of Sangamon located?

Healthcare Network Associates Of Sangamon is located at 3132 Old Jacksonville Rd Suite 110, Springfield, IL 62704. The listed phone number is (217) 862-0062.

What is Healthcare Network Associates Of Sangamon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Healthcare Network Associates Of Sangamon was last updated on June 16, 2008. 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.