Organization
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HEISCHMIDT M.D. (PRESIDENT)
(217) 342-7000
Entity
Organization
Contact information
Practice address
1106 N MERCHANT ST, EFFINGHAM, IL 62401-2128
(217) 342-7000
Mailing address
PO BOX 665, EFFINGHAM, IL 62401-0665
(217) 342-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042007457
IL
207R00000X
Internal Medicine Physician
042007457
IL
208000000X
Pediatrics Physician
042007457
IL
261QR1300X
Rural Health Clinic/Center
Primary
0420007457
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2521179
BC/BS PROVIDER GROUP #
IL
01
—
CC5658
M/C R.R. PROVIDER GROUP #
IL
Enumeration date
12/07/2005
Last updated
11/30/2023
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