Organization Active NPI

M-CFHC

Doing business as Harrisburg Family Healthcare

  • Internal Medicine Physician
  • Harrisburg, IL
National Provider Identifier
1184633455
Registry record updated Jan 24, 2009
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
M-CFHC
Doing business as
Harrisburg Family Healthcare
Practice address
305 N Commercial St
Harrisburg, IL 62946-1347
Phone
(618) 252-5544
Fax
(618) 253-7699
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2009

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

Authorized official

Name
Sukhdarshan S Bedi, M.D.
Title
Medical Director
Phone
(618) 997-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

305 N Commercial St
Harrisburg, IL 62946-1347

Mailing address

305 N Commercial St
Harrisburg, IL 62946-1347
Phone (618) 252-5544

Other names 1

  • HARRISBURG FAMILY HEALTHCARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

305 N Commercial St
Harrisburg, IL 62946
Phone (618) 252-5544

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232755200000",
    "number": "1184633455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461347",
            "telephone_number": "618-252-5544",
            "fax_number": "618-253-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461347",
            "telephone_number": "618-252-5544",
            "fax_number": "618-253-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-CFHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-01-24",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "SUKHDARSHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "618-997-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRISBURG FAMILY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, IL

Sources for this page

Verify at the official NPI Registry.