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Contact Information

CENTRAL COUNTIES HEALTH CENTERS, INC.
1023 E WASHINGTON ST
SPRINGFIELD, IL62703-1047
 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
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1346791167
LBN Legal business name CENTRAL COUNTIES HEALTH CENTERS, INC.
Authorized official CINDY KAVANAGH - (ACCOUNTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2016
Last updated 10/17/2016 - 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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