| Central Counties Health Centers, Inc. - Family Guidance Center | |
|
120 N 11th St Springfield IL 62703-1002 | |
| (217) 788-2300 | |
| Not Available |
| Full Name | Central Counties Health Centers, Inc. - Family Guidance Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 N 11th St, Springfield, Illinois |
| Authorized Official Name and Position | Jason Jones (CFO) |
| 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. - Family Guidance Center 2239 E Cook St Springfield IL 62703-1944 Ph: (217) 788-2300 | Central Counties Health Centers, Inc. - Family Guidance Center 120 N 11th St Springfield IL 62703-1002 Ph: (217) 788-2300 |
| NPI Number | 1245759273 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Medicare PECOS PAC ID | 3274445762 |
|---|---|
| Medicare Enrollment ID | O20171024003448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245759273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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