REJUV CHAMPAIGN PC – NPI #1356601629
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

REJUV CHAMPAIGN PC is an AHC clinic located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1356601629 to REJUV CHAMPAIGN PC on May 21, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REJUV CHAMPAIGN PC below.

NPI Profile for
REJUV CHAMPAIGN PC

NPI Number
1356601629
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REJUV CHAMPAIGN PC
Primary location
606 NORTH COUNTY FAIR DRIVE
A
CHAMPAIGN, IL 61820
Phone: (217) 607-0762 Fax:
Mailing address
405 N HERSHEY RD
BLOOMINGTON, IL 61704-3527
Phone: (309) 662-3002 Fax:
Organization Subpart
No
Authorized Official
SHAWN SNIDER
OWNER
Phone: (309) 678-4243
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 IL 209005824

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.