OPEN MRI OF COLES COUNTY LLC – NPI #1013931377
Internal Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

OPEN MRI OF COLES COUNTY LLC is a provider located in MATTOON, IL. NPPES has assigned the NPI number 1013931377 to OPEN MRI OF COLES COUNTY LLC on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RM1200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 OPEN MRI OF COLES COUNTY LLC below.

NPI Profile for
OPEN MRI OF COLES COUNTY LLC

NPI Number
1013931377
Enumeration Date

(about 20 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
OPEN MRI OF COLES COUNTY LLC
Primary location
100 PROFESSIONAL PLAZA
STE 1A
MATTOON, IL 61938
Phone: (217) 345-0700 Fax: (217) 345-0712
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANNA RUNGE
PRESIDENT CEO
Phone: (217) 345-0700
Updated
Identifiers

Identifiers for OPEN MRI OF COLES COUNTY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIL01532006
OTHERCIGNA2924965
OTHERHEALTHLINK PPO534801
OTHERHMO HEALTH ALLIANCE081138
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
207RM1200X
- Internal Medicine / Magnetic Resonance Imaging (MRI) (Primary)
IL 33724466

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.