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

NPI Status: Active since October 21, 2008

Contact Information

800 W STATE ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 243-9471
Fax: (217) 243-5359

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rural Health

About JACKSONVILLE FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Jacksonville Family Practice, a primary care provider established in Jacksonville, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1528210705 assigned on October 2008. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Jacksonville Family Practice. The authorized official of this NPI record is J. Travis Dowell (Vice President, Hcna And Operations)

NPI: 1528210705
Provider Legal Name: JACKSONVILLE, LLC
Other Organization Name: JACKSONVILLE FAMILY PRACTICE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 800 W STATE ST JACKSONVILLE, IL 62650
Location Phone: (217) 243-9471
Location Fax: (217) 243-5359
Mailing Address: PO BOX 3428 SPRINGFIELD, IL 62708
Mailing Phone: (800) 577-5368
Mailing Fax: (217) 243-5359
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-21-2008
Last Update Date: 10-21-2008
Code Navigator

A primary care provider (PCP) like Jacksonville Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rural Health
Taxonomy Code: 261QR1300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: J. TRAVIS DOWELL
Authorized Official Title: VICE PRESIDENT, HCNA AND OPERATIONS
Authorized Official Phone: (217) 788-3342

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	2	8	2	1	0	7	0	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	4	8	4	1	0	7	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 1 + 0 + 7 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1528210705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.