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PRIMARY CARE GROUP
NPI 1265419261
Family Medicine in Harrisburg, IL

Active since December 30, 2005CLIA 14D2108795 · Waiver
117 E CLARK ST, HARRISBURG, IL 62946(618) 252-8625(618) 252-2540 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care Group NPPES

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

PRIMARY CARE GROUP (NPI 1265419261) is a healthcare organization registered as a family medicine in Harrisburg, Illinois and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Michelle Boatright, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265419261
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARRISBURG FAMILY PRACTICE LTD
Location Address117 E CLARK STHarrisburg, IL 62946-2702
Mailing Address117 E Clark StHarrisburg, IL 62946-2702 · (618) 252-8625 · Fax (618) 252-2540
Phone(618) 252-8625
Fax(618) 252-2540
Organization SubpartNo
Authorized OfficialMichelle BoatrightAdministrator · (618) 252-8625
Enumeration DateDecember 30, 2005
Last NPPES UpdateSeptember 22, 2011
✔ NPI 1265419261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036042756
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

117 E CLARK ST, Harrisburg, IL 62946
Open in Google Maps ↗

Other Names 1

Doing Business AsPrimary Care Group

Other Identifiers 3

Medicare PIN143883IL
Medicaid=========002IL
Medicare PIN339930IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2108795

Primary Care Group / Sih · Harrisburg, IL
Active · expires Jun 27, 2028
CLIA Number14D2108795
Laboratory TypePublic Health Laboratories
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorAdam Vargo MD
Laboratory Phone(618) 252-8625
Laboratory LocationPrimary Care Group / Sih117 E Clark St, Harrisburg, IL 62946
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MRS. KRYSTA ANN MITCHELL FNP-C
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
DR. JENNIFER MARIE SCAGLIOLA D.O.
Surgery
117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG
HARRISBURG, IL 62946
Saline County (618) 252-8625
JOSEPH BAXTER DPT
Physical Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 294-9326
KIMBERLY ANN KESER CS-FNP
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
BRENT M JONES MD
Family Medicine
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
DIANNA QUESTELLE
Massage Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
MRS. KATHERINE EMILY JONES LCSW
Social Worker (Clinical)
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 927-8942
TURENNE M METAYER DPM
Podiatrist (Foot & Ankle Surgery)
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 294-9300

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 Harrisburg Family Practice Ltd's NPI number?

The NPI number for Harrisburg Family Practice Ltd is 1265419261. It was assigned to this organization in the NPPES registry on December 30, 2005. The provider is doing business as Primary Care Group.

Where is Harrisburg Family Practice Ltd located?

Harrisburg Family Practice Ltd is located at 117 E Clark St, Harrisburg, IL 62946. The listed phone number is (618) 252-8625.

What is Harrisburg Family Practice Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Harrisburg Family Practice Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2108795) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harrisburg Family Practice Ltd was last updated on September 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.