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Contact Information

CENTRAL ILLINOIS FRIENDS OF PWA, INC.
311 E MAIN ST STE 409
GALESBURG, IL61401-4867
 Phone: 309-431-5880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

261QC1500X
 

Family Planning, Non-Surgical

261QF0050X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

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

NPI Number 1932058963
LBN Legal business name CENTRAL ILLINOIS FRIENDS OF PWA, INC.
Authorized official DERIC KIMLER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2026
Last updated 05/08/2026 - About a month 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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