NPIMap

Organization Active NPI

Regional Family Health Center

  • Family Medicine Physician
  • Galva, IL
National Provider Identifier
1073618534
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL FAMILY HEALTH CENTER
Practice address
336 Front St
Galva, IL 61434-1365
Phone
(309) 932-3101
Fax
(309) 932-3154
NPI assigned
Sep 13, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin M Jeffries, M.D.NPI 1871541615
Title
Ceo
Phone
(309) 932-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

336 Front St
Galva, IL 61434-1365

Mailing address

336 Front St
P.O. Box 95
Galva, IL 61434-1365
Phone (309) 932-3101

Other identifiers 1

IdentifierTypeStateIssuer
3732013OtherILBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1073618534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FRONT ST",
            "address_2": "P.O. BOX 95",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341365",
            "telephone_number": "309-932-3101",
            "fax_number": "309-932-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FRONT ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341365",
            "telephone_number": "309-932-3101",
            "fax_number": "309-932-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-932-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "3732013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.