| Central Counties Health Centers, Inc. | |
|
800 E Carpenter St Springfield IL 62702-5324 | |
| (217) 788-2300 | |
| Not Available |
| Full Name | Central Counties Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 E Carpenter St, Springfield, Illinois |
| Authorized Official Name and Position | Cindy Kavanagh (ACCOUNTANT) |
| Authorized Official Contact | 2177882300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Counties Health Centers, Inc. 2239 E Cook St Springfield IL 62703-1944 Ph: (217) 788-2300 | Central Counties Health Centers, Inc. 800 E Carpenter St Springfield IL 62702-5324 Ph: (217) 788-2300 |
| NPI Number | 1225588387 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Medicare PECOS PAC ID | 3274445762 |
|---|---|
| Medicare Enrollment ID | O20161026002909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225588387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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