Jacksonville Family Practice

LBN: Jacksonville, Llc
Jacksonville Family Practice is an health care organization with primary practice located at 800 W State St , Jacksonville IL 62650-2290. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Jacksonville, Llc can be contacted via phone (217) 243-9471, or through Dowell, J. Travis via phone (217) 788-3342.

Contact Information

Primary practice address
800 W State St Jacksonville IL 62650-2290
Phone: (217) 243-9471
Fax: (217) 243-5359
Website:
Map and Directions
Authorized official contact:
Name: Dowell, J. Travis
Phone: (217) 788-3342

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1528210705
LBN Legal business name Jacksonville, Llc
DBA Doing business as Jacksonville Family Practice
Authorized official Dowell, J. Travis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 18 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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