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CHARLESTON PRIMARY CARE INC.
NPI 1770905952
Clinic/Center - Primary Care in Charleston, IL

Active since January 07, 2014
506 W LINCOLN AVE, SUITE 200, CHARLESTON, IL 61920(217) 348-8730(217) 345-7146 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charleston Primary Care Inc. NPPES

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

CHARLESTON PRIMARY CARE INC. (NPI 1770905952) is a healthcare organization registered as a primary care in Charleston, Illinois and active in the NPI registry since January 2014. The organization lists Danelle Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1770905952
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHARLESTON PRIMARY CARE INC.
Location Address506 W LINCOLN AVE, SUITE 200Charleston, IL 61920-2453
Mailing Address506 W Lincoln Ave, Suite 200Charleston, IL 61920-2453 · (217) 348-8730 · Fax (217) 345-7146
Phone(217) 348-8730
Fax(217) 345-7146
Organization SubpartNo
Authorized OfficialDanelle JacksonOwner · (217) 276-6421
Enumeration DateJanuary 7, 2014
✔ NPI 1770905952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
506 W LINCOLN AVE, Charleston, IL 61920
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Other Providers at the Same Location NPPES 9

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

VIRGINIA ALBERTA CROFT SLP
Speech-Language Pathologist
506 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 348-3891
DR. JASON B JERABEK DO
Family Medicine
506 W LINCOLN AVE, SUITE 200 A
CHARLESTON, IL 61920
Coles County (217) 281-0024
L.E. MCNEILL, MD SC
Allergy & Immunology
506 W LINCOLN AVE, SUITES 200A&B
CHARLESTON, IL 61920
Coles County (217) 348-8727
JUDITH LIDY FNP
Nurse Practitioner (Family)
506 W LINCOLN AVE, SUITE 200 A
CHARLESTON, IL 61920
Coles County (217) 348-8727
MRS. BEVERLY J. VORIS LCPC
Counselor (Professional)
506 W LINCOLN AVE, SUITE 400
CHARLESTON, IL 61920
Coles County (217) 348-3334
NEW LEAF PROFESSIONAL COUNSELING
Counselor (Mental Health)
506 W LINCOLN AVE, SUITE 1000
CHARLESTON, IL 61920
Coles County (217) 348-6281
JANE ELIZABETH WILSON MA, LCPC
Counselor (Professional)
506 W LINCOLN AVE, SUITE 1000
CHARLESTON, IL 61920
Coles County (217) 348-6281
DR. LELAND E. MCNEILL M.D.
Family Medicine
506 W LINCOLN AVE, SUITES 200 A AND B
CHARLESTON, IL 61920
Coles County (217) 348-8727

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 Charleston Primary Care Inc.'s NPI number?

The NPI number for Charleston Primary Care Inc. is 1770905952. It was assigned to this organization in the NPPES registry on January 7, 2014.

Where is Charleston Primary Care Inc. located?

Charleston Primary Care Inc. is located at 506 W Lincoln Ave Suite 200, Charleston, IL 61920. The listed phone number is (217) 348-8730.

What is Charleston Primary Care Inc.'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 Charleston Primary Care Inc. was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.