CENTRAL COUNTIES HEALTH CENTERS, INC. (NPI# 1235287756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235287756 |
| Entity Type | Organization |
| Organization Name | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Other Organization Name | CAPITOL COMMUNITY HEALTH CENTER - CONTACT MINISTRIES |
| Practice Address |
1100 E Adams St Hch - Contact Ministries Springfield IL 62703-1030 |
| Mailing Address |
2239 E Cook St Hch - Contact Ministries Springfield IL 62703-1944 |
| Practice Telephone | 2177882300 |
| Practice Fax Number | 2177882343 |
| Mailing Telephone | 2177882300 |
| Mailing Fax Number | 2177882343 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-09-21 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Capitol Community Health Center - Contact Ministries | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1013467646 | Central Counties Health Centers, Inc. | Dentist | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2016-10-06 |
| 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 |
1100 E ADAMS ST HCH - CONTACT MINISTRIES |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on CENTRAL COUNTIES HEALTH CENTERS, INC..
| 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.