GOREVILLE FAMILY PRACTICE
NPI 1790980985
Clinic/Center - Primary Care in Goreville, IL

Q: What is Cls Medical Inc.'s NPI number?

The NPI number for Cls Medical Inc. is 1790980985. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Goreville Family Practice.

Q: What is Cls Medical Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Cls Medical Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 18, 2007

200 S BROADWAY, GOREVILLE, IL 62939(618) 995-2396(618) 995-2947 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Goreville Family Practice NPPES

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

GOREVILLE FAMILY PRACTICE (NPI 1790980985) is a healthcare organization registered as a primary care in Goreville, Illinois and active in the NPI registry since June 2007. The organization lists Crystal L Stangle, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1790980985

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCLS MEDICAL INC.

Location Address200 S BROADWAYGoreville, IL 62939-2447

Mailing AddressPo Box 40, 200 South Broadway StreetGoreville, IL 62939-0040 · (618) 995-2396 · Fax (618) 995-2947

Phone(618) 995-2396

Fax(618) 995-2947

Organization SubpartNo

Authorized OfficialCrystal L StangleOwner Ceo · (618) 995-2396

Enumeration DateJune 18, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790980985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

200 S BROADWAY, Goreville, IL 62939

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Other Names 1

Doing Business AsGoreville Family Practice

Other Providers at the Same Location NPPES

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

SALLY J BALLARD PA-C

Physician Assistant (Medical)

200 S BROADWAY
GOREVILLE, IL 62939

Johnson County (618) 995-2396

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 Cls Medical Inc.'s NPI number?

The NPI number for Cls Medical Inc. is 1790980985. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Goreville Family Practice.

Where is Cls Medical Inc. located?

Cls Medical Inc. is located at 200 S Broadway, Goreville, IL 62939. The listed phone number is (618) 995-2396.

What is Cls Medical 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 Cls Medical Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.