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.
2239 E COOK ST
SPRINGFIELD, IL62703-1944
Phone: 217-788-2300
Fax: 217-788-2343
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

* Indicates primary specialty

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

NPI Number 1861480709
Legal business name
LBN
CENTRAL COUNTIES HEALTH CENTERS, INC.
Authorized official CINDY KAVANAGH - (ACCOUNTANT)
Entity Organization
Organization subpart No
Enumeration date 10/13/2005
Last updated 09/02/2016 - 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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