CAPITOL COMMUNITY HEALTH CENTER - ST JOHN'S BREADLINE
NPI 1669520177
Family Medicine in Springfield, IL

Active since January 08, 2007
430 N 5TH ST, ST JOHN'S BREADLINE, SPRINGFIELD, IL 62702(217) 788-2300(217) 788-2343 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Capitol Community Health Center - St John's Breadline NPPES

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

CAPITOL COMMUNITY HEALTH CENTER - ST JOHN'S BREADLINE (NPI 1669520177) is a healthcare organization registered as a family medicine in Springfield, Illinois and active in the NPI registry since January 2007. The organization lists Cindy Kavanagh, Accountant, as its authorized official.

NPPES Registry Identity

NPI1669520177
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL COUNTIES HEALTH CENTERS, INC.
Location Address430 N 5TH ST, ST JOHN'S BREADLINESpringfield, IL 62702-5202
Mailing Address2239 E Cook St, Hch - St John's BreadlineSpringfield, IL 62703-1944 · (217) 788-2300 · Fax (217) 788-2343
Fax(217) 788-2343
Organization SubpartNo
Authorized OfficialCindy KavanaghAccountant · (217) 788-2300
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 21, 2010
NPI 1669520177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
430 N 5TH ST, Springfield, IL 62702

Other Names 1

Doing Business AsCapitol Community Health Center - St John's Breadline

Other Identifiers 2

Medicaid=========003IL
Medicare ID-Type Unspecified141964IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Counties Health Centers, Inc.'s NPI number?

The NPI number for Central Counties Health Centers, Inc. is 1669520177. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Capitol Community Health Center - St John's Breadline.

Where is Central Counties Health Centers, Inc. located?

Central Counties Health Centers, Inc. is located at 430 N 5th St St John's Breadline, Springfield, IL 62702. The listed phone number is (217) 788-2300.

What is Central Counties Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Central Counties Health Centers, Inc. was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.