NPIMap

Organization Active NPI

Healthcare Network Associates

  • Multi-Specialty Clinic/Center
  • Jacksonville, IL
National Provider Identifier
1124181482
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTHCARE NETWORK ASSOCIATES
Practice address
1602 W Lafayette Ave
Jacksonville, IL 62650-1007
Phone
(217) 243-7200
Fax
(217) 243-6165
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Robert T Clark
Title
President and Ceo
Phone
(217) 788-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1602 W Lafayette Ave
Jacksonville, IL 62650-1007

Mailing address

PO Box 3428
Springfield, IL 62708-3428
Phone (800) 577-5368

Other names 1

  • Jacksonville Family Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Network Associates of Sangamon12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

213 S State St
Beardstown, IL 62618
Phone (217) 243-3799

1608 W Lafayette Ave
Ste A
Jacksonville, IL 62650
Phone (217) 243-7591

800 W State St
Jacksonville, IL 62650
Phone (217) 243-6447

1606 W Lafayette Ave
Ste A
Jacksonville, IL 62650
Phone (217) 243-4313

1101 E Monroe St
Springfield, IL 62703
Phone (217) 544-1101

3132 Old Jacksonville Rd
Ste 200
Springfield, IL 62704
Phone (217) 862-0800

126 E State St
Waverly, IL 62692
Phone (217) 243-3799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1124181482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "800-577-5368",
            "fax_number": "217-757-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W LAFAYETTE AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501007",
            "telephone_number": "217-243-7200",
            "fax_number": "217-243-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE NETWORK ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "217-788-3340"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Family Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.