ANDERSON FAMILY PRACTICE
NPI 1023235348
Clinic/Center - Primary Care in Mount Vernon, IL

Active since April 19, 2007
3505 BROADWAY ST, MOUNT VERNON, IL 62864(618) 244-7788(618) 244-9330 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anderson Family Practice NPPES

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

ANDERSON FAMILY PRACTICE (NPI 1023235348) is a healthcare organization registered as a primary care in Mount Vernon, Illinois and active in the NPI registry since April 2007. The organization lists Alan W Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1023235348
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameANDERSON FAMILY PRACTICE
Location Address3505 BROADWAY STMount Vernon, IL 62864-2202
Mailing Address500 N 27th StMount Vernon, IL 62864-2924 · (618) 244-3245 · Fax (618) 244-3279
Fax(618) 244-9330
Organization SubpartNo
Authorized OfficialAlan W AndersonPresident · (618) 244-7788
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1023235348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3505 BROADWAY ST, Mount Vernon, IL 62864

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Adult Medicine)
3505 BROADWAY ST, STE A
MOUNT VERNON, IL 62864
Chiropractor
3505 BROADWAY ST
MOUNT VERNON, IL 62864
Clinic/Center (Rural Health)
3505 BROADWAY ST
MOUNT VERNON, IL 62864

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 Anderson Family Practice's NPI number?

The NPI number for Anderson Family Practice is 1023235348. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Anderson Family Practice located?

Anderson Family Practice is located at 3505 Broadway St, Mount Vernon, IL 62864. The listed phone number is (618) 244-7788.

What is Anderson Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Anderson Family Practice was last updated on August 22, 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.