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INTERNAL MEDICINE CLINIC OF JACKSONVILLE
NPI 1437301611
Clinic/Center - Rural Health in Jacksonville, IL

Active since October 21, 2008CLIA 14D2173578 · Waiver
1606 W LAFAYETTE AVE, JACKSONVILLE, IL 62650(217) 245-1421(217) 243-1699 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Internal Medicine Clinic Of Jacksonville NPPES

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

INTERNAL MEDICINE CLINIC OF JACKSONVILLE (NPI 1437301611) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists J. Travis Dowell, Vice President, Hcna And Operations, as its authorized official.

NPPES Registry Identity

NPI1437301611
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJACKSONVILLE, LLC
Location Address1606 W LAFAYETTE AVEJacksonville, IL 62650-3707
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Phone(217) 245-1421
Fax(217) 243-1699
Organization SubpartNo
Authorized OfficialJ. Travis DowellVice President, Hcna And Operations · (217) 788-3342
Enumeration DateOctober 21, 2008
Last NPPES UpdateOctober 9, 2012
✔ NPI 1437301611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1606 W LAFAYETTE AVE, Jacksonville, IL 62650
Open in Google Maps ↗

Other Names 1

Doing Business AsInternal Medicine Clinic Of Jacksonville

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 14D2173578

Jacksonville Health & Rehab · Jacksonville, IL
Active · expires Oct 15, 2027
CLIA Number14D2173578
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorBhavin Sonani
Laboratory Phone(217) 243-6451
Laboratory LocationJacksonville Health & Rehab1517 W Walnut, Jacksonville, IL 62650
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. TARA JEAN RAMSEY M.D.
Internal Medicine
1606 W LAFAYETTE AVE, SUITE D
JACKSONVILLE, IL 62650
Morgan County (217) 479-0290
HEALTHCARE NETWORK ASSOCIATES
Internal Medicine
1606 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-1421
MEMORIAL PHYSICIAN SERVICES
Clinic/Center (Rural Health)
1606 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-1421
DR. DAVID D COULTAS M.D.
Internal Medicine
1606 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-1421

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 Jacksonville, LLC's NPI number?

The NPI number for Jacksonville, LLC is 1437301611. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is doing business as Internal Medicine Clinic Of Jacksonville.

Where is Jacksonville, LLC located?

Jacksonville, LLC is located at 1606 W Lafayette Ave, Jacksonville, IL 62650. The listed phone number is (217) 245-1421.

What is Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Jacksonville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2173578) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jacksonville, LLC was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.