EXPRESS CARE OF MT VERNON
NPI 1679814305
Emergency Medicine in Mount Vernon, IL

Active since March 05, 2013CLIA 14D2061917 · Waiver
1104 S 42ND ST, MOUNT VERNON, IL 62864(618) 315-6575 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Express Care Of Mt Vernon NPPES

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

EXPRESS CARE OF MT VERNON (NPI 1679814305) is a healthcare organization registered as an emergency medicine in Mount Vernon, Illinois and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Christie Lynn Foster, Shareholder/director, as its authorized official.

NPPES Registry Identity

NPI1679814305
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC
Location Address1104 S 42ND STMount Vernon, IL 62864-6216
Mailing Address1104 S 42nd StMount Vernon, IL 62864-6216 · (618) 315-6575
Organization SubpartNo
Authorized OfficialChristie Lynn FosterShareholder/director · (618) 315-6575
Enumeration DateMarch 5, 2013
Last NPPES UpdateMarch 11, 2013
NPI 1679814305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1104 S 42ND ST, Mount Vernon, IL 62864

Other Names 1

Doing Business AsExpress Care Of Mt Vernon

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 14D2061917

Express Care Of Mt Vernon (dba) Midwest Medical Area Occupational Service · Mount Vernon, IL
Active · expires Sep 5, 2026
CLIA Number14D2061917
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorChristie L. Foster MD
Laboratory Phone(618) 315-6360
Laboratory LocationExpress Care Of Mt Vernon (dba) Midwest Medical Area Occupational Service1104 S 42nd St, Mount Vernon, IL 62864
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 2

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

Emergency Medicine
1104 S 42ND ST
MOUNT VERNON, IL 62864
Psychiatry & Neurology (Psychiatry)
1104 S 42ND ST
MOUNT VERNON, IL 62864

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 Midwest Medical And Occupational Services Sc's NPI number?

The NPI number for Midwest Medical And Occupational Services Sc is 1679814305. It was assigned to this organization in the NPPES registry on March 5, 2013. The provider is doing business as Express Care Of Mt Vernon.

Where is Midwest Medical And Occupational Services Sc located?

Midwest Medical And Occupational Services Sc is located at 1104 S 42nd St, Mount Vernon, IL 62864. The listed phone number is (618) 315-6575.

What is Midwest Medical And Occupational Services Sc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Midwest Medical And Occupational Services Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2061917) is associated with this NPI, valid through September 5, 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 Midwest Medical And Occupational Services Sc was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.