| NPI | 1861480709 |
|---|---|
| Other Name | CAPITOL COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY KAVANAGH Accountant 217-788-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2016-09-02 |