Organization Active NPI

Regional Family Health Center

  • Family Medicine Physician
  • Kewanee, IL
National Provider Identifier
1356446652
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL FAMILY HEALTH CENTER
Practice address
125 W South St
Suite 12
Kewanee, IL 61443-3715
Phone
(309) 853-3677
Fax
(309) 853-3692
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

125 W South St
Suite 12
Kewanee, IL 61443-3715

Mailing address

125 W South St
Suite 12
Kewanee, IL 61443-3715
Phone (309) 853-3677

National Provider Directory

National Provider Directory

Locations

125 W South St
Ste 12
Kewanee, IL 61443
Phone (309) 856-6626

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": "1208649600000",
    "number": "1356446652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W SOUTH ST",
            "address_2": "SUITE 12",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433715",
            "telephone_number": "309-853-3677",
            "fax_number": "309-853-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W SOUTH ST",
            "address_2": "SUITE 12",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433715",
            "telephone_number": "309-853-3677",
            "fax_number": "309-853-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "KEVIN",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewanee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.