CENTRAL COUNTIES HEALTH CENTERS INC. NPI 1861480709

NPI Information

  • NPI: 1861480709
  • Provider Name: CENTRAL COUNTIES HEALTH CENTERS, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: CAPITOL COMMUNITY HEALTH CENTER
  • Address: 2239 E COOK ST
    SPRINGFIELD, IL
    ZIP 62703
  • Phone: (217) 788-2300

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NPI Details

CENTRAL COUNTIES HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Springfield, IL. CENTRAL COUNTIES HEALTH CENTERS, INC. NPI is 1861480709. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Capitol Community Health Center.

The provider's business location address is:

2239 E COOK ST
SPRINGFIELD, IL
ZIP 62703-944
Phone: (217) 788-2300
Fax: (217) 788-2343

The provider's authorized official is Cindy Kavanagh .
The authorized official title is Accountant and has the following contact phone number (217) 788-2300.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 9/2/2016.

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
1363L00000XNurse PractitionerNo
2122300000XDentistNo
3207Q00000XFamily MedicineNo
4207R00000XInternal MedicineNo
5208000000XPediatricsNo
61041C0700XSocial WorkerClinicalNo
7261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========002MEDICAIDILLINOIS
2141897MEDICARE OSCAR/CERTIFICATIONILLINOIS

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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