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Organization

CENTRAL COUNTIES HEALTH CENTERS, INC.

Active
Parent organization
CENTRAL COUNTIES HEALTH CENTERS, INC.
Other names
Central Counties Health Centers, Inc. - Family Guidance Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL COUNTIES HEALTH CENTERS, INC.
Authorized official
JASON JONES (CFO)
(217) 788-2300
Entity
Organization

Contact information

Practice address
120 N 11TH ST, SPRINGFIELD, IL 62703-1002
(217) 788-2300
Mailing address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
(217) 788-2343

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
09/11/2017
Last updated
09/11/2017
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