Active NPI
Regional Family Health Center
- Family Medicine Physician
- Kewanee, IL
National Provider Identifier
1356446652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.