OrganizationActive
Long Creek Medical LLC
NPI 1871345165 · Clinic/Center · Decatur, IL
Long Creek Medical LLC is a Clinic/Center organization in Decatur, IL (NPI 1871345165).
Provider details
- NPI number
- 1871345165
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Mahannah, Owner(217) 519-3203
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2550 S 70th St
Decatur, IL 62521-8742
Phone: (217) 330-0407
Street-level locationGet directions
Mailing address
2550 S 70th St
Decatur, IL 62521-8742
Registry dates
- Enumerated
- 2024-04-02
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Long Creek Medical LLC's NPI number?
- Long Creek Medical LLC's National Provider Identifier (NPI) is 1871345165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Creek Medical LLC?
- Long Creek Medical LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Long Creek Medical LLC located?
- Long Creek Medical LLC's practice location on file with NPPES is 2550 S 70th St, Decatur, IL 62521-8742.
- What is Long Creek Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Long Creek Medical LLC is (217) 330-0407.
- Who is the authorized official for Long Creek Medical LLC?
- The authorized official listed on Long Creek Medical LLC's NPPES record is Jennifer Mahannah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Creek Medical LLC's NPI active?
- Yes — Long Creek Medical LLC's NPI (1871345165) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.