Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Long Creek Medical LLC

Organization Clinic/Center · NPI 1871345165

Long Creek Medical LLC is a Clinic/Center in Decatur, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2550 S 70th St
Decatur, IL 62521-8742
Phone: (217) 330-0407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1871345165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Mahannah — Owner · (217) 519-3203
NPI enumeratedApril 2, 2024
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address2550 S 70th St, Decatur, IL 62521-8742

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