MULLIN MEMORIAL RURAL HEALTH CLINIC
NPI 1851346316
Nurse Practitioner - Family in Manlius, IL

Active since May 23, 2006
320 SOUTH SECOND STREET, MANLIUS, IL 61338(815) 445-2273(815) 445-2213 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mullin Memorial Rural Health Clinic NPPES

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

MULLIN MEMORIAL RURAL HEALTH CLINIC (NPI 1851346316) is a healthcare organization registered as a family in Manlius, Illinois and active in the NPI registry since May 2006. The organization lists Sherry L Desalle, Owner, as its authorized official.

NPPES Registry Identity

NPI1851346316
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMULLIN MEMORIAL RURAL HEALTH SERVICES, LLC
Location Address320 SOUTH SECOND STREETManlius, IL 61338
Mailing Address320 South Second Street, P.o. Box 375Manlius, IL 61338 · (815) 445-2273 · Fax (815) 445-2213
Fax(815) 445-2213
Organization SubpartNo
Authorized OfficialSherry L DesalleOwner · (815) 445-2213
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1851346316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
320 SOUTH SECOND STREET, Manlius, IL 61338

Other Names 1

Doing Business AsMullin Memorial Rural Health Clinic

Other Identifiers 1

Medicaid176406892001IL

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
320 SOUTH SECOND STREET
MANLIUS, IL 61338

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 Mullin Memorial Rural Health Services, LLC's NPI number?

The NPI number for Mullin Memorial Rural Health Services, LLC is 1851346316. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Mullin Memorial Rural Health Clinic.

Where is Mullin Memorial Rural Health Services, LLC located?

Mullin Memorial Rural Health Services, LLC is located at 320 South Second Street, Manlius, IL 61338. The listed phone number is (815) 445-2273.

What is Mullin Memorial Rural Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mullin Memorial Rural Health Services, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.