RONALD L JOHNSON NPI 1720088776

NPI Information

NPI: 1720088776
Provider Name: RONALD L JOHNSON

Doing Business As: PIKE COUNTY FAMILY PRACTICE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1073 W WASHINGTON ST
PITTSFIELD, IL
ZIP 62363
Phone: (217) 285-9661
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RONALD L JOHNSON is a rural health clinic center in Pittsfield, IL. RONALD L JOHNSON NPI is 1720088776. The provider is registered as an organization entity type.
The provider Is Doing Business As Pike County Family Practice.

The provider's business location address is:

1073 W WASHINGTON ST
PITTSFIELD, IL
ZIP 62363-666
Phone: (217) 285-9661
Fax: (217) 285-4641

The provider's authorized official is Ronald L Johnson .
The authorized official title is Owner/physician and has the following contact phone number (217) 285-9661.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 8/22/2020.

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
1	261QR1300X	Clinic/Center	Rural Health	143946	ILLINOIS	Yes

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

NPI Synchronization or Removal

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