SQUARE 1 HEALTHCARE COMPANY
NPI 1467231589
Clinic/Center - Primary Care in Champaign, IL

Active since September 27, 2023
511 N NEIL ST, CHAMPAIGN, IL 61820(815) 408-0833 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Square 1 Healthcare Company NPPES

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

SQUARE 1 HEALTHCARE COMPANY (NPI 1467231589) is a healthcare organization registered as a primary care in Champaign, Illinois and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Champaign and lists Arun Abraham, President, as its authorized official.

NPPES Registry Identity

NPI1467231589
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSQUARE 1 HEALTHCARE COMPANY
Location Address511 N NEIL STChampaign, IL 61820-3688
Mailing Address401 Clipper RdSpringfield, IL 62711-8010 · (217) 953-0352
Organization SubpartNo
Authorized OfficialArun AbrahamPresident · (217) 953-0352
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
NPI 1467231589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
511 N NEIL ST, Champaign, IL 61820

Secondary Practice Location 1

Location 11902 Fox DrChampaign, IL 61820-7377 · Phone (815) 408-0833

Other Identifiers 2

Medicaid1255578316IL
Medicaid1841767084IL

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 Square 1 Healthcare Company's NPI number?

The NPI number for Square 1 Healthcare Company is 1467231589. It was assigned to this organization in the NPPES registry on September 27, 2023.

Where is Square 1 Healthcare Company located?

Square 1 Healthcare Company is located at 511 N Neil St, Champaign, IL 61820. The listed phone number is (815) 408-0833.

What is Square 1 Healthcare Company'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 Square 1 Healthcare Company was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.