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

Charleston Primary Care Inc

Organization Primary Care Clinic/Center · NPI 1770905952

Charleston Primary Care Inc is a Primary Care Clinic/Center in Charleston, Illinois. Registered with an NPI since 2014.

In the registry since
2014
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

506 W Lincoln Ave Ste 200
Charleston, IL 61920-2453
Phone: (217) 348-8730
Fax: (217) 345-7146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1770905952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danelle Jackson — Owner · (217) 276-6421
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014
Mailing address506 W Lincoln Ave, Suite 200, Charleston, IL 61920-2453