# MACOUPIN FAMILY PRACTICE CENTERS, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carlinville Family Practice Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538369277
- **Authorized official:** DR. BRIAN L QUARTON (DIRECTOR)
- **Authorized official phone:** (217) 839-4491

## Contact information

- **Practice address:** 15574 ROUTE 108, CARLINVILLE, IL 62626-4091
- **Practice address phone:** (121) 785-4431
- **Mailing address:** 15574 ROUTE 108, CARLINVILLE, IL 62626-4091
- **Mailing address phone:** (121) 785-4431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 06/09/2023
