NPIMap

Organization Active NPI

Craig W Furry

  • Primary Care Clinic/Center
  • Marion, IL
National Provider Identifier
1245577642
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CRAIG W FURRY
Practice address
1306 N Atchison Ave
Suite C
Marion, IL 62959-5426
Phone
(618) 542-2129
Fax
(618) 542-2903
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Craig W Furry, MDNPI 1609864750
Title
Owner
Phone
(618) 542-2129

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1306 N Atchison Ave
Suite C
Marion, IL 62959-5426

Mailing address

1306 N Atchison Ave
Suite C
Marion, IL 62959-5426
Phone (618) 542-2129

Other names 1

  • Southern Illinois Immediate Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Craig W Furry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1245577642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N ATCHISON AVE",
            "address_2": "SUITE C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595426",
            "telephone_number": "618-542-2129",
            "fax_number": "618-542-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N ATCHISON AVE",
            "address_2": "SUITE C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595426",
            "telephone_number": "618-542-2129",
            "fax_number": "618-542-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG W FURRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "FURRY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-542-2129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Illinois Immediate Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.