FAMILY PRACTICE MEDICAL CENTER LTD NPI 1669654224

NPI Information

  • NPI: 1669654224
  • Provider Name: FAMILY PRACTICE MEDICAL CENTER LTD
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 14D0976937
  • Address: 302 N MAIN ST
    GEORGETOWN, IL
    ZIP 61846
  • Phone: (217) 662-2282

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NPI Details

FAMILY PRACTICE MEDICAL CENTER LTD is a rural health clinic center in Georgetown, IL. FAMILY PRACTICE MEDICAL CENTER LTD NPI is 1669654224. The provider is registered as an organization entity type.

The provider's business location address is:

302 N MAIN ST
GEORGETOWN, IL
ZIP 61846-728
Phone: (217) 662-2282
Fax: (217) 662-6946

The provider's authorized official is George R Gindi .
The authorized official title is Owner and has the following contact phone number (217) 516-0715.

The CLIA number assigned to this NPI record is 14D0976937 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health001ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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