Central Counties Health Centers, Inc.
NPI #1205282936 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1205282936
- Entity Type
- Organization
- Organization Name
- Central Counties Health Centers, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL COUNTIES HEALTH CENTERS, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 12, 2016
- Last Updated
- May 19, 2016
Practice Location
- Address
- 1440 W WALNUT ST
- Address 2
- SUITE 2
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1143
- Phone
- (217) 788-2300
Authorized Official
- Name
- CINDY KAVANAGH
- Title
- ACCOUNTANT
- Phone
- (217) 788-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Pediatrics |
| Nurse Practitioner |
| Physician Assistant |
| Dentist |
| Social Worker - Clinical — Clinical |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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