| Central Counties Health Centers, Inc. | |
|
430 N 5th St St John's Breadline Springfield IL 62702-5202 | |
| (217) 788-2300 | |
| (217) 788-2343 |
| Full Name | Central Counties Health Centers, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 430 N 5th St, Springfield, Illinois |
| Authorized Official Name and Position | Cindy Kavanagh (ACCOUNTANT) |
| Authorized Official Contact | 2177882300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Counties Health Centers, Inc. 2239 E Cook St Hch - St John's Breadline Springfield IL 62703-1944 Ph: (217) 788-2300 | Central Counties Health Centers, Inc. 430 N 5th St St John's Breadline Springfield IL 62702-5202 Ph: (217) 788-2300 |
| NPI Number | 1669520177 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669520177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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