PHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY
NPI 1649283870
Clinic/Center - Rural Health in Mount Vernon, IL

Q: What is Physician Rural Health Clinic Of Jefferson County's specialty?

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

Active since August 15, 2006

3307 BROADWAY ST, STE 130, MOUNT VERNON, IL 62864(618) 244-2560(618) 244-1572 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Physician Rural Health Clinic Of Jefferson County NPPES

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

PHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY (NPI 1649283870) is a healthcare organization registered as a rural health in Mount Vernon, Illinois and active in the NPI registry since August 2006. The organization lists Veena K Gupta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649283870

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY

Location Address3307 BROADWAY ST, STE 130Mount Vernon, IL 62864-2347

Mailing Address3307 Broadway St, Ste 130Mount Vernon, IL 62864-2347 · (618) 244-2560 · Fax (618) 244-1572

Phone(618) 244-2560

Fax(618) 244-1572

Organization SubpartNo

Authorized OfficialVeena K GuptaCeo · (618) 244-7200

Enumeration DateAugust 15, 2006

Last NPPES UpdateOctober 15, 2008

✔ NPI 1649283870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

3307 BROADWAY ST, Mount Vernon, IL 62864

Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification143949IL

Medicaid=========001IL

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.

LORMED LLC

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

3307 BROADWAY ST, SUITE 150
MOUNT VERNON, IL 62864

Jefferson County (618) 244-2850

BRAD MCMILLIN, INC

Hearing Aid Equipment

3307 BROADWAY ST, SUITE 160
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4901

MR. JAMES EDWARD KEELER PA-C

Physician Assistant (Medical)

3307 BROADWAY ST, SUITE 140
MOUNT VERNON, IL 62864

Jefferson County (618) 244-7200

CARE FIRST MEDICAL CENTER

Family Medicine

3307 BROADWAY ST, STE 140
MOUNT VERNON, IL 62864

Jefferson County (618) 244-7200

VEENA KAWATRA GUPTA M.D.

Family Medicine

3307 BROADWAY ST, STE 140
MOUNT VERNON, IL 62864

Jefferson County (618) 244-7200

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 Physician Rural Health Clinic Of Jefferson County's NPI number?

The NPI number for Physician Rural Health Clinic Of Jefferson County is 1649283870. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Physician Rural Health Clinic Of Jefferson County located?

Physician Rural Health Clinic Of Jefferson County is located at 3307 Broadway St Ste 130, Mount Vernon, IL 62864. The listed phone number is (618) 244-2560.

What is Physician Rural Health Clinic Of Jefferson County'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 Physician Rural Health Clinic Of Jefferson County was last updated on October 15, 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.