OrganizationActive
Lewis Memorial Christian Village
NPI 1417264391 · Preferred Provider Organization · Springfield, IL
Provider details
- NPI number
- 1417264391
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Susan Hensey, Pta(217) 787-9600
- License
- 160003483 (IL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3400 W Washington St
Springfield, IL 62711-7917
Phone: (217) 787-9600
Street-level locationGet directions
Mailing address
3400 W Washington St
Springfield, IL 62711-7917
Registry dates
- Enumerated
- 2010-09-13
- Last updated
- 2010-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.