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JACKSONVILLE FAMILY PRACTICE
NPI 1528210705
Clinic/Center - Rural Health in Jacksonville, IL

Active since October 21, 2008
800 W STATE ST, JACKSONVILLE, IL 62650(217) 243-9471(217) 243-5359 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Family Practice NPPES

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

JACKSONVILLE FAMILY PRACTICE (NPI 1528210705) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since October 2008. The organization lists J. Travis Dowell, Vice President, Hcna And Operations, as its authorized official.

NPPES Registry Identity

NPI1528210705
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJACKSONVILLE, LLC
Location Address800 W STATE STJacksonville, IL 62650-2290
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Phone(217) 243-9471
Fax(217) 243-5359
Organization SubpartNo
Authorized OfficialJ. Travis DowellVice President, Hcna And Operations · (217) 788-3342
Enumeration DateOctober 21, 2008
✔ NPI 1528210705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
800 W STATE ST, Jacksonville, IL 62650
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Other Names 1

Doing Business AsJacksonville Family Practice

Other Providers at the Same Location NPPES 5

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

DR. JOHN ANDREW PETERSON M.D.
Family Medicine
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471
MRS. DIANE M. LIETZ APRN FNP-C
Nurse Practitioner (Family)
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-2292
HEALTHCARE NETWORK ASSOCIATES
Clinic/Center (Multi-Specialty)
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Family Medicine
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471
SHANA L WHITEHEAD PA-C
Physician Assistant
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471

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 1528210705. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is doing business as Jacksonville Family Practice.

Where is Jacksonville, LLC located?

Jacksonville, LLC is located at 800 W State St, Jacksonville, IL 62650. The listed phone number is (217) 243-9471.

What is Jacksonville, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacksonville, LLC was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.