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FAMILY HEALTH CARE MEDICAL CENTER INC NPI 1649693219


NPI Information

NPI: 1649693219
Provider Name: FAMILY HEALTH CARE MEDICAL CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D2085332

Address:
415 W MAIN ST
SUITE 3
COLLINSVILLE, IL
ZIP 62234
Phone: (618) 344-0071
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FAMILY HEALTH CARE MEDICAL CENTER INC is a family medicine in Collinsville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY HEALTH CARE MEDICAL CENTER INC NPI is 1649693219. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

415 W MAIN ST
SUITE 3
COLLINSVILLE, IL
ZIP 62234-043
Phone: (618) 344-0071
Fax: (618) 344-7793

The provider's authorized official is Raj M Sajid .
The authorized official title is Physician/owner and has the following contact phone number (618) 344-0071.

The CLIA number assigned to this NPI record is 26D2085332 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2014 and was last updated on 12/3/2023.


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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineYes

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: 5/5/2024

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