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HEALTHCARE NETWORK ASSOCIATES OF SANGAMON NPI 1942210109


NPI Information

NPI: 1942210109
Provider Name: HEALTHCARE NETWORK ASSOCIATES OF SANGAMON

Doing Business As: JACKSONVILLE FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
800 W STATE ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 243-9471
Get Directions

HEALTHCARE NETWORK ASSOCIATES OF SANGAMON is a family medicine in Jacksonville, 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. HEALTHCARE NETWORK ASSOCIATES OF SANGAMON NPI is 1942210109. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jacksonville Family Practice.

The provider's business location address is:

800 W STATE ST
JACKSONVILLE, IL
ZIP 62650-910
Phone: (217) 243-9471
Fax: (217) 243-5359

The provider's authorized official is William T Kendrick .
The authorized official title is Director and has the following contact phone number (217) 757-7493.

The enumeration date for this NPI number is 8/9/2006 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
1207Q00000XFamily 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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