Monclair Enterprises, Inc.
NPI 1043774342ActiveOrganization· Family Medicine· Columbia, IL
Family Medicine in Columbia, Illinois, registered in NPPES in January 2019. The authorized official on file is Tami Boren, FNP-C, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043774342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2019 |
| Last updated in NPPES | Jun 23, 2024 |
| Certified by provider | Jun 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Family Medicine providers in Columbia
- 1699870931
- 1962128256
- 1144320086
- 1396172201
- 1417260613
- 1548786460
- 1710159686
- 1487759916
- 1518736149
- 1477758571
- 1912961558
- 1922179175