CENTRAL COUNTIES HEALTH CENTERS, INC.; NPI #1205282936

Contact Information

CENTRAL COUNTIES HEALTH CENTERS, INC.

1440 W WALNUT ST
SUITE 2
JACKSONVILLE, IL 62650-1143

Phone: 217-788-2300
Fax: 217-788-2342
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Dentist	122300000X
Family Medicine	207Q00000X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Pediatrics	208000000X	37	Physician/Pediatric Medicine
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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

NPI Number	`1205282936`
LBN Legal business name	CENTRAL COUNTIES HEALTH CENTERS, INC.
Authorized official	CINDY KAVANAGH - (ACCOUNTANT)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/12/2016
Last updated	05/19/2016 - About 10 years 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 COUNTIES HEALTH CENTERS, INC.

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

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