CENTRAL COUNTIES HEALTH CENTERS, INC. (NPI# 1013467646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013467646 |
| Entity Type | Organization |
| Organization Name | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Practice Address |
1141 N Cheney St Taylorville IL 62568-2741 |
| Mailing Address |
2239 E Cook St Springfield IL 62703-1944 |
| Practice Telephone | 2177882300 |
| Practice Fax Number | 2177882342 |
| Mailing Telephone | 2177882300 |
| Mailing Fax Number | 2177882343 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | CINDY KAVANAGH (ACCOUNTANT) |
| Authorized Official Telephone | 2177882300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911893 | Central Counties Health Centers, Inc. | Clinic/Center | 5220 6th Street Frontage Rd E Ste 2400, Springfield, IL 62703-5761 | 2017-09-11 |
| 1346791167 | Central Counties Health Centers, Inc. | Family Medicine | 1023 E Washington St, Springfield, IL 62703-1047 | 2016-10-17 |
| 1669520177 | Central Counties Health Centers, Inc. | Internal Medicine | 430 N 5th St, St John's Breadline, Springfield, IL 62702-5202 | 2007-01-08 |
| 1992853428 | Central Counties Health Centers, Inc. | Family Medicine | 221 N 11th St, Hch - Salvation Army - 6th St., Springfield, IL 62703-1003 | 2007-01-08 |
| 1235287756 | Central Counties Health Centers, Inc. | Internal Medicine | 1100 E Adams St, Hch - Contact Ministries, Springfield, IL 62703-1030 | 2007-01-08 |
| 1245759273 | Central Counties Health Centers, Inc. | Clinic/Center | 120 N 11th St, Springfield, IL 62703-1002 | 2017-09-11 |
| 1225588387 | Central Counties Health Centers, Inc. | Dentist | 800 E Carpenter St, Springfield, IL 62702-5324 | 2016-10-12 |
| 1205282936 | Central Counties Health Centers, Inc. | Physician Assistant | 1440 W Walnut St, Suite 2, Jacksonville, IL 62650-1143 | 2016-05-12 |
| 1578611000 | Central Counties Health Centers, Inc. | Family Medicine | 221 N 11th St, Hch - Salvation Army 11th, Springfield, IL 62703-1003 | 2007-01-08 |
| 1861480709 | Central Counties Health Centers, Inc. | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2005-10-13 |
| Street Address |
1141 N CHENEY ST |
| City | TAYLORVILLE |
| State | IL |
| Zip Code | 62568-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572473 | Vernon Ray Klinefelter | Family Medicine | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2005-07-14 |
| 1952427163 | Cc Medical Clinic Sc | Obstetrics & Gynecology | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2007-03-21 |
| 1912910688 | Abundant Life Medical Clinic, LLC | Legal Medicine | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2006-08-14 |
| 1104854918 | Hwa Long Chen | Obstetrics & Gynecology | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2006-06-29 |
| 1508865049 | Gerry A Klinefelter | Nurse Practitioner | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
| 1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
| 1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
| 1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
| 1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
| 1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
| 1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
| 1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
| Find all providers in zip 62568 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934871 | Board of Trustees of Southern Illinois University | Clinic/Center | 303 E Bidwell St, Taylorville, IL 62568-1363 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORVILLE |
| Zip Code | 62568 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.