Effingham Express Care – Rural Health Clinic/Center, NPI 1326542903

Effingham Express Care is a healthcare provider. based in Effingham, Illinois. specializing in Rural Health Clinic/Center. The NPI Number for Effingham Express Care is 1326542903

Main info

Organization
Name
Effingham Express Care
NPI
1326542903
Phone
(217) 994-9301
Address
1001 AVENUE OF MID AMERICA STE 4
Authorized Official
DR. PAUL A TOOFAN PRESIDENT MD
Enumeration Date
20 March 2018
Last Update Date
25 June 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:8State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Effingham Express Care

  • Avenue of Mid-America, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624014634

    Phone: (217) 994-9301

    Fax: (217) 994-9304

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-01-31 (128 days ago).

Enrollment records

1

Earliest due date

2026-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20180420000523ORural Health ClinicIL2026-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62401)

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Reviews

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Frequently asked questions

Is Effingham Express Care listed with a National Provider Identifier?
Yes — Effingham Express Care has NPI 1326542903 on file in the registry.
Would Effingham Express Care appear as active to a payer?
You can treat Effingham Express Care as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to Effingham Express Care?
Effingham Express Care's specialty line reads Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Effingham Express Care?
Directory geography for Effingham Express Care centers on Effingham, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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