Organization · Type 2 NPI

Central Counties Health Centers, Inc.

Federally Qualified Health Center (FQHC) · Springfield, IL

NPI number 1992853428 Active

Practice location

221 N 11th St, Hch - Salvation Army - 6th St.
Springfield, IL 62703-1003

Call (217) 788-2300 Map

Fax (217) 788-2343

Mailing address

2239 E Cook St, Hch - Salvation Army 6th
Springfield, IL 62703-1944

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1992853428

Central Counties Health Centers, Inc.'s National Provider Identifier is 1992853428, issued on Jan 8, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Springfield, IL. The record was last updated on Nov 10, 2015.