Organization
CENTRAL COUNTIES HEALTH CENTERS, INC.
Active
Parent organization
CENTRAL COUNTIES HEALTH CENTERS, INC.
Other names
Noll Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL COUNTIES HEALTH CENTERS, INC.
Authorized official
JASON JONES CPA (CFO)
(217) 788-2300
Entity
Organization
Contact information
Practice address
5220 6TH STREET FRONTAGE RD E STE 2400, SPRINGFIELD, IL 62703-5761
(217) 788-2300
(217) 788-2340
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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