National Provider Identifier Database

CENTRAL COUNTIES HEALTH CENTERS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CENTRAL COUNTIES HEALTH CENTERS, INC.
1440 W WALNUT ST
SUITE 2
JACKSONVILLE, IL62650-1143
Phone: 217-788-2300
Fax: 217-788-2342
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical 1041C0700X
Dentist 122300000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Nurse Practitioner 363L00000X
Pediatrics 208000000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for CENTRAL COUNTIES HEALTH CENTERS, INC.

NPI Number 1205282936
Legal business name
LBN
CENTRAL COUNTIES HEALTH CENTERS, INC.
Authorized official CINDY KAVANAGH - (ACCOUNTANT)
Entity Organization
Organization subpart Yes
Enumeration date 05/12/2016
Last updated 05/19/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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