STATERA HEALTH CARE, LLC – NPI #1043874449
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

STATERA HEALTH CARE, LLC is a provider located in HARRISBURG, IL. NPPES has assigned the NPI number 1043874449 to STATERA HEALTH CARE, LLC on May 01, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 3 years ago on May 04, 2023. 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 STATERA HEALTH CARE, LLC below.

NPI Profile for
STATERA HEALTH CARE, LLC

NPI Number
1043874449
Enumeration Date

(more than 7 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
STATERA HEALTH CARE, LLC
Primary location
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946-2718
Phone: (618) 833-1691 Fax:
2 Other location(s):
3333 W DeYoung St
Marion, IL 62959-5884
Phone: (618) 998-7000
200 E Fairman Ave
Watseka, IL 60970-1644
Phone: (815) 432-5841
Mailing address
2250 N ILLINOIS AVE
CARBONDALE, IL 62901-5612
Phone: (618) 833-1691 Fax: (618) 861-5302
Organization Subpart
No
Authorized Official
CALEB SUTTON
BUSINESS OPERATIONS MANAGER
Phone: (618) 833-1691
Updated
Certification Date
May 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207P00000X
- Emergency Medicine (Primary)
208600000X
- Surgery

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.