# SPRINFIELD CLINIC LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springfield Clinic Mt Pulaski Rural Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265702799
- **Authorized official:** MR. RANDY BRYANT (CEO)
- **Authorized official phone:** (217) 528-7541

## Contact information

- **Practice address:** 509 E CHESTNUT ST, MOUNT PULASKI, IL 62548-1008
- **Practice address phone:** (217) 792-3756
- **Mailing address:** 1025 S 7TH ST, SPRINGFIELD, IL 62703-2416
- **Mailing address phone:** (217) 528-7541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 12/30/2011