CENTRAL ILLINOIS FRIENDS OF PWA, INC.
NPI 1447866900
Clinic/Center - Community Health in Peoria, IL

Active since September 21, 2020CLIA 14D2045437 · Waiver
2112 E WAR MEMORIAL DR, PEORIA, IL 61614(309) 431-5880 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Dec 29, 2025, Sep 21, 2020 (3 updates tracked since 2020).

About Central Illinois Friends Of Pwa, Inc. NPPES

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

CENTRAL ILLINOIS FRIENDS OF PWA, INC. (NPI 1447866900), doing business as Central Illinois Friends, is a healthcare organization registered as a community health in Peoria, Illinois and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Deric Kimler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1447866900
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCENTRAL ILLINOIS FRIENDS OF PWA, INC.
Location Address2112 E WAR MEMORIAL DRPeoria, IL 61614-8002
Mailing AddressPo Box 5022Peoria, IL 61601-5022 · (309) 671-2144 · Fax (309) 671-5108
Organization SubpartNo
Authorized OfficialDeric KimlerExecutive Director · (309) 671-2144
Enumeration DateSeptember 21, 2020
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1447866900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
2112 E WAR MEMORIAL DR, Peoria, IL 61614

Other Names 1

Doing Business AsCentral Illinois Friends

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 14D2045437

Central Illinois Friends Inc · Peoria, IL
Active · expires Aug 12, 2026
CLIA Number14D2045437
Laboratory TypeAids Service Organization
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorAdam Houghton M D
Laboratory Phone(309) 671-2144
Laboratory LocationCentral Illinois Friends Inc120 NE Glen Oak Avenue, Ste 201, Peoria, IL 61603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Community Health)
2112 E WAR MEMORIAL DR
PEORIA, IL 61614

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 Central Illinois Friends Of Pwa, Inc.'s NPI number?

The NPI number for Central Illinois Friends Of Pwa, Inc. is 1447866900. It was assigned to this organization in the NPPES registry on September 21, 2020. The provider is doing business as Central Illinois Friends.

Where is Central Illinois Friends Of Pwa, Inc. located?

Central Illinois Friends Of Pwa, Inc. is located at 2112 E War Memorial Dr, Peoria, IL 61614. The listed phone number is (309) 431-5880.

What is Central Illinois Friends Of Pwa, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Central Illinois Friends Of Pwa, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2045437) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Illinois Friends Of Pwa, Inc. was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.