Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Backroad Health Care Inc

Organization Family Nurse Practitioner · NPI 1134582018

Backroad Health Care Inc is a Family Nurse Practitioner in Centralia, Illinois. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 S Perrine Ave
Centralia, IL 62801-3635
Phone: (618) 419-0011
Fax: (888) 980-2931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7825a E Grant Rd, Walnut Hill, IL 62893-1613 — (618) 545-0707

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1134582018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Havrilka — Fnp/Owner · (618) 419-0011
NPI enumeratedMarch 30, 2016
Last updated in NPPESMarch 18, 2019
Mailing address314 S Poplar St Unit 864, Centralia, IL 62801-0848

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