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

Central Counties Health Centers, Inc

Organization Family Medicine Physician · NPI 1669520177

Central Counties Health Centers, Inc is a Family Medicine Physician in Springfield, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
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

430 N 5th St St John's Breadline
Springfield, IL 62702-5202
Phone: (217) 788-2300
Fax: (217) 788-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1669520177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Kavanagh — Accountant · (217) 788-2300
Other names Capitol Community Health Center - St John'S Breadline
NPI enumeratedJanuary 8, 2007
Last updated in NPPESSeptember 21, 2010
Mailing address2239 E Cook St, Hch - St John'S Breadline, Springfield, IL 62703-1944

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