| Jacksonville Family Practice | |
|
800 W State St Jacksonville IL 62650-2290 | |
| (217) 243-9471 | |
| (217) 243-5359 |
| Full Name | Jacksonville Family Practice |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 800 W State St, Jacksonville, Illinois |
| Authorized Official Name and Position | J. Travis Dowell (VICE PRESIDENT, HCNA AND OPERATIONS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Family Practice Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Jacksonville Family Practice 800 W State St Jacksonville IL 62650-2290 Ph: (217) 243-9471 |
| NPI Number | 1528210705 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528210705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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