Lewis Memorial Christian Village
NPI 1154638021ActiveOrganization· Preferred Provider Organization· Springfield, IL
Preferred Provider Organization in Springfield, Illinois, registered in NPPES in September 2010. The authorized official on file is Laverne Broomfield, Cota.
Overview
| NPI | 1154638021 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2010 |
| Last updated in NPPES | Sep 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 057003241 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preferred Provider Organization providers in Springfield
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