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GACHUGU MEDICAL CLINIC
NPI 1003414442
Nurse Practitioner in Wood River, IL

Active since October 16, 2020
1 E FERGUSON AVE, WOOD RIVER, IL 62095(618) 251-8138(618) 251-8140 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2020, Oct 16, 2020 (2 updates tracked since 2020).

About Gachugu Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GACHUGU MEDICAL CLINIC (NPI 1003414442) is a healthcare organization registered as a nurse practitioner in Wood River, Illinois and active in the NPI registry since October 2020. The organization lists Wilson Gachugu Ndungu, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1003414442
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGACHUGU MEDICAL CLINIC
Location Address1 E FERGUSON AVEWood River, IL 62095-1903
Mailing Address1 E Ferguson AveWood River, IL 62095-1903 · (618) 917-9464
Phone(618) 251-8138
Fax(618) 251-8140
Organization SubpartNo
Authorized OfficialWilson Gachugu NdunguAuthorized Official/owner · (618) 917-9463
Enumeration DateOctober 16, 2020
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1003414442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 E FERGUSON AVE, Wood River, IL 62095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gachugu Medical Clinic's NPI number?

The NPI number for Gachugu Medical Clinic is 1003414442. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is Gachugu Medical Clinic located?

Gachugu Medical Clinic is located at 1 E Ferguson Ave, Wood River, IL 62095. The listed phone number is (618) 251-8138.

What is Gachugu Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Gachugu Medical Clinic was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.