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Organization
SARAH BUSH LINCOLN HEALTH CENTER
Active
Organization
SARAH BUSH LINCOLN HEALTH CENTER
Active
Parent organization
SARAH BUSH LINCOLN HEALTH CENTER
Other names
Prairie Medical Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SARAH BUSH LINCOLN HEALTH CENTER
Authorized official
MATTHEW CLIFTON (PHARMACY DIRECTOR)
(217) 258-2518
Entity
Organization
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-2411
(217) 258-4095
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 258-2411
(217) 258-4095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
054008478
IL
3336H0001X
Home Infusion Therapy Pharmacy
054008478
IL
3336S0011X
Specialty Pharmacy
054008478
IL
Other
Enumeration date
10/24/2006
Last updated
08/18/2026
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