HEALTHCARE NETWORK ASSOCIATES (NPI# 1922161280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922161280 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE NETWORK ASSOCIATES |
| Other Organization Name | JACKSONVILLE FAMILY PRACTICE |
| Practice Address |
800 W State St Jacksonville IL 62650-1910 |
| Mailing Address |
Po Box 3428 Springfield IL 62708-3428 |
| Practice Telephone | 2172439471 |
| Practice Fax Number | 2172435359 |
| Mailing Telephone | 8005775368 |
| Mailing Fax Number | 2177572021 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | ROBERT T CLARK (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2177883340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jacksonville Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629269048 | Healthcare Network Associates | Clinic/Center | 100 Chatham Rd, Springfield, IL 62704-1533 | 2007-08-09 |
| 1124181482 | Healthcare Network Associates | Clinic/Center | 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 | 2006-12-18 |
| 1003979360 | Healthcare Network Associates | Clinic/Center | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2006-12-18 |
| 1235291220 | Healthcare Network Associates | Clinic/Center | 1 Centre Dr, Petersburg, IL 62675-9467 | 2006-12-15 |
| 1891706073 | Healthcare Network Associates | Family Medicine | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2006-08-11 |
| 1033120225 | Healthcare Network Associates | Obstetrics & Gynecology | 747 N Rutledge St, Baylis Building, 2nd Floor, Springfield, IL 62702-6700 | 2006-08-11 |
| 1073522975 | Healthcare Network Associates | Family Medicine | 515 N College St, Lincoln, IL 62656-1401 | 2006-08-07 |
| 1518976497 | Healthcare Network Associates | Internal Medicine | 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 | 2006-08-07 |
| 1942219837 | Healthcare Network Associates | Family Medicine | 1 Centre Dr, Petersburg, IL 62675-9467 | 2006-08-07 |
| 1508832890 | Healthcare Network Associates | Nurse Practitioner | 701 N 1st St, Springfield, IL 62781-0001 | 2006-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | HEALTHCARE NETWORK ASSOCIATES LLC | 534 Conkey Street, Hammond, IN 46324 |
| Street Address |
800 W STATE ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740522101 | Diane M. Lietz | Nurse Practitioner | 800 W State St, Jacksonville, IL 62650-2290 | 2013-03-25 |
| 1528210705 | Jacksonville, LLC | Clinic/Center | 800 W State St, Jacksonville, IL 62650-2290 | 2008-10-21 |
| 1942210109 | Healthcare Network Associates of Sangamon | Family Medicine | 800 W State St, Jacksonville, IL 62650-1910 | 2006-08-09 |
| 1942276662 | Shana L Whitehead | Physician Assistant | 800 W State St, Jacksonville, IL 62650-1910 | 2006-02-23 |
| 1164495941 | John Andrew Peterson | Family Medicine | 800 W State St, Jacksonville, IL 62650-1910 | 2006-02-10 |
| 1336138122 | Michelle Colen | Family Medicine | 800 W State St, Jacksonville, IL 62650-2290 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1801313788 | Ace Medical LLC | Clinic/Center | 3450 Dunn Ave Ste 302, Jacksonville, FL 32218-6427 | 2017-08-23 |
| 1780033498 | Healthworks Med Group of Florida Pa | Clinic/Center | 5022 Gate Pkwy Ste 400, Jacksonville, FL 32256-0833 | 2016-06-03 |
| 1851344378 | Solantic/south Florida, LLC | Clinic/Center | 8711 Perimter Park Blvd., Suite 6, Jacksonville, FL 32216 | 2006-05-18 |
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1710592787 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 6349 Beach Blvd, Jacksonville, FL 32216-2707 | 2020-09-15 |
| 1083229017 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 7450 103rd St, Jacksonville, FL 32210-6780 | 2020-09-15 |
| 1801407291 | Patient Focus Physicians Associates Inc | Clinic/Center | 101 Century 21 Dr, Jacksonville, FL 32216-8115 | 2020-08-11 |
| 1093331456 | Jax Health LLC | Clinic/Center | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on HEALTHCARE NETWORK ASSOCIATES.
| 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.