Jefferson Street Clinic, SC
NPI 1366637258ActiveOrganization· Clinic/Center· Morton, IL
Clinic/Center in Morton, Illinois, registered in NPPES in September 2007. The authorized official on file is Larry Stephen Patton, D.O., President.
Overview
| NPI | 1366637258 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2007 |
| Last updated in NPPES | Sep 13, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | 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 Clinic/Center providers in Morton
- 1780531723
- 1629180799
- 1801156377