Capitol Community Health Center - St John'S Breadline

LBN: Central Counties Health Centers, Inc.
Capitol Community Health Center - St John'S Breadline is an health care organization with primary practice located at 430 N 5Th St St John'S Breadline, Springfield IL 62702-5202. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Central Counties Health Centers, Inc. can be contacted via phone (217) 788-2300, or through Kavanagh, Cindy via phone (217) 788-2300.

Contact Information

Primary practice address
430 N 5Th St St John'S Breadline Springfield IL 62702-5202
Phone: (217) 788-2300
Fax: (217) 788-2343
Website:
Map and Directions
Authorized official contact:
Name: Kavanagh, Cindy
Phone: (217) 788-2300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1669520177
LBN Legal business name Central Counties Health Centers, Inc.
DBA Doing business as Capitol Community Health Center - St John'S Breadline
Authorized official Kavanagh, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 21st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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