NPIMap

Organization Active NPI

Bureau County Family Health

  • Rural Health Clinic/Center
  • Princeton, IL
National Provider Identifier
1770481418
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BUREAU COUNTY FAMILY HEALTH
Practice address
526 S Bureau Valley Pkwy
Princeton, IL 61356-2046
Phone
(815) 872-5091
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Hector Manuel Gomez
Title
Administrator
Phone
(815) 872-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

526 S Bureau Valley Pkwy
Princeton, IL 61356-2046

Mailing address

526 S Bureau Valley Pkwy
Princeton, IL 61356-2046

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770481418. Details of each certification follow.

Rural health clinic certification: CCN 783869

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BUREAU COUNTY FAMILY HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 23, 2026
Last certification
Mar 23, 2026
Ownership / control type
Non-profit – church related
Facility address
526 S Bureau Valley Pkwy
Princeton, IL 61356

National Provider Directory

National Provider Directory
Tax ID family
Bureau County Family Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1770481418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S BUREAU VALLEY PKWY",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S BUREAU VALLEY PKWY",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562046",
            "telephone_number": "815-872-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUREAU COUNTY FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-872-5091"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

Verify at the official NPI Registry.