Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CENTRAL ILLINOIS FRIENDS OF PWA, INC.
NPI 1932058963
Clinic/Center - Community Health in Galesburg, IL

Active since January 23, 2026
311 E MAIN ST STE 409, GALESBURG, IL 61401(309) 431-5880 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, May 8, 2026, Jan 23, 2026 (3 updates tracked since 2026).

About Central Illinois Friends Of Pwa, Inc. NPPES

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

CENTRAL ILLINOIS FRIENDS OF PWA, INC. (NPI 1932058963) is a healthcare organization registered as a community health in Galesburg, Illinois and active in the NPI registry since January 2026. The organization lists Deric Kimler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1932058963
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCENTRAL ILLINOIS FRIENDS OF PWA, INC.
Location Address311 E MAIN ST STE 409Galesburg, IL 61401-4867
Mailing AddressPo Box 5022Peoria, IL 61601-5022 · (309) 431-5880
Organization SubpartNo
Authorized OfficialDeric KimlerExecutive Director · (309) 431-5880
Enumeration DateJanuary 23, 2026
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1932058963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
311 E MAIN ST STE 409, Galesburg, IL 61401

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
311 E MAIN ST STE 409
GALESBURG, IL 61401
Nurse Practitioner (Women's Health)
311 E MAIN ST STE 409
GALESBURG, IL 61401
Nurse Practitioner
311 E MAIN ST STE 409
GALESBURG, IL 61401

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 Illinois Friends Of Pwa, Inc.'s NPI number?

The NPI number for Central Illinois Friends Of Pwa, Inc. is 1932058963. It was assigned to this organization in the NPPES registry on January 23, 2026.

Where is Central Illinois Friends Of Pwa, Inc. located?

Central Illinois Friends Of Pwa, Inc. is located at 311 E Main St Ste 409, Galesburg, IL 61401. The listed phone number is (309) 431-5880.

What is Central Illinois Friends Of Pwa, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Central Illinois Friends Of Pwa, Inc. was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.