Organization
CENTRAL COUNTIES HEALTH CENTERS, INC.
Active
Organization
CENTRAL COUNTIES HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY KAVANAGH (ACCOUNTANT)
(217) 788-2300
Entity
Organization
Contact information
Practice address
221 N 11TH ST, HCH - SALVATION ARMY - 6TH ST., SPRINGFIELD, IL 62703-1003
(217) 788-2300
(217) 788-2343
Mailing address
2239 E COOK ST, HCH - SALVATION ARMY 6TH, SPRINGFIELD, IL 62703-1944
(217) 788-2300
(217) 788-2343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
11/10/2015
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