CENTRAL ILLINOIS FRIENDS OF PWA, INC.; NPI #1447866900

Contact Information

CENTRAL ILLINOIS FRIENDS OF PWA, INC.

2112 E WAR MEMORIAL DR
PEORIA, IL 61614-8002

Phone: 309-431-5880
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Health	261QC1500X
Case Management	251B00000X
Community Health	363LC1500X	50	Nurse Practitioner
Community/Behavioral Health	251S00000X
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency
Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for CENTRAL ILLINOIS FRIENDS OF PWA, INC.

NPI #	`1447866900`
LBN Legal business name	CENTRAL ILLINOIS FRIENDS OF PWA, INC.
Authorized official	DERIC KIMLER - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/21/2020
Last updated	01/23/2026 - About 4 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTRAL ILLINOIS FRIENDS OF PWA, INC.

Contact Information

Specialty

Community Health

Case Management

Community Health

Community/Behavioral Health

Public Health or Welfare

Voluntary or Charitable

NPI Profile & details for CENTRAL ILLINOIS FRIENDS OF PWA, INC.

Reviews for CENTRAL ILLINOIS FRIENDS OF PWA, INC.