CENTRAL COUNTIES HEALTH CENTERS, INC. (NPI# 1861480709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861480709 |
| Entity Type | Organization |
| Organization Name | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Other Organization Name | CAPITOL COMMUNITY HEALTH CENTER |
| Practice Address |
2239 E Cook St Springfield IL 62703-1944 |
| Practice Telephone | 2177882300 |
| Practice Fax Number | 2177882343 |
| Mailing Telephone | 2177882300 |
| Mailing Fax Number | 2177882343 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2016-09-02 |
| 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 | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Capitol Community Health Center | Other Name - Individual/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 |
| 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 |
| 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 |
| Street Address |
2239 E COOK ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985922 | Atwood Jackson Huff II | Dentist | 2239 E Cook St, Springfield, IL 62703-1944 | 2005-10-12 |
| 1356993372 | Audrey Thursby | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2019-07-10 |
| 1952869224 | Lori Lee Brandt | Social Worker | 2239 E Cook St, Springfield, IL 62703-1944 | 2019-03-06 |
| 1740762202 | Ashley Nicole Dunmire | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2018-08-31 |
| 1053847509 | Laci Watson | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2017-05-03 |
| 1356792055 | Brittani M. Cunningham | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703 | 2016-06-24 |
| 1073963120 | Ashlyn S Bartels | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2016-06-20 |
| 1245680719 | Ashley N Dyas | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2016-06-15 |
| 1801256813 | Lisa L Henderson | Registered Nurse | 2239 E Cook St, Springfield, IL 62703-1944 | 2016-03-03 |
| 1225497639 | Jennifer Leann Toon Porter | Nurse Practitioner | 2239 E Cook St, Springfield, IL 62703-1944 | 2016-02-12 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958439 | Cumberland Family Medical Center, Inc. | Clinic/Center | 601 Lincoln Park Rd, Springfield, KY 40069-1501 | 2019-12-05 |
| 1144867524 | Cumberland Family Medical Center, Inc. | Clinic/Center | 300 W Us Hwy 150 Bypass, Springfield, KY 40069-8460 | 2019-12-05 |
| 1275170680 | Cumberland Family Medical Center, Inc | Clinic/Center | 603 Lincoln Park Rd, Springfield, KY 40069-1501 | 2019-12-04 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| 1558848473 | Board of Trustees of Southern Illinois University | Clinic/Center | 2833 S Grand Ave E Ste 100, Springfield, IL 62703-2175 | 2018-07-24 |
| 1447768569 | Springfield Medical Care Systems Inc | Clinic/Center | 43 Union St, Springfield, VT 05156-3133 | 2018-01-11 |
| 1457869570 | Springfield Medical Care Systems Inc | Clinic/Center | 10 Hoover St, Springfield, VT 05156-2425 | 2018-01-11 |
| 1356859474 | Springfield Medical Care Systems Inc | Clinic/Center | 303 South St, Springfield, VT 05156-3226 | 2018-01-11 |
| 1508373655 | Springfield Medical Care Systems Inc | Clinic/Center | 13 Fairground Rd, Springfield, VT 05156-2112 | 2018-01-10 |
| 1861911893 | Central Counties Health Centers, Inc. | Clinic/Center | 5220 6th Street Frontage Rd E Ste 2400, Springfield, IL 62703-5761 | 2017-09-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.