OrganizationActive
Mattoon Estates North, LLC
NPI 1184820748 · Point of Service · Mattoon, IL
Provider details
- NPI number
- 1184820748
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- John Holtz, Controller(541) 747-3373
Specialties & taxonomies
Managed Care Organizations
Practice location
1920 Brookstone Ln
Mattoon, IL 61938-6105
Phone: (217) 235-5881
Fax: (217) 235-5878
Approximate (ZIP-level) locationGet directions
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.