NPIMap

Organization Active NPI

David F Szoke MD,

Doing business as Community Healthcare Clinic

  • Primary Care Clinic/Center
  • Benton, IL
National Provider Identifier
1811385347
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036085242 Issued in IL
Legal business name
DAVID F SZOKE MD,
Doing business as
Community Healthcare Clinic
Practice address
905 W Washington St
Benton, IL 62812-1649
Phone
(618) 435-5444
NPI assigned
Jan 6, 2015
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. David Frank Szoke, MDNPI 1477531192
Title
Physician/Owner
Phone
(618) 435-5444

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 036085242 IL Primary

Addresses

Primary practice location

905 W Washington St
Benton, IL 62812-1649

Mailing address

905 W Washington St
Benton, IL 62812-1649
Phone (618) 435-5444

Other names 1

  • Community Healthcare Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150403000890 IL Part B Supplier - Clinic/Group Practice 8325366222 Receives reassigned benefits from 1 practitioner
Practice locations: West Frankfort, IL

National Provider Directory

National Provider Directory

Locations

905 W Washington St
Benton, IL 62812
Phone (618) 435-2229

309 W Saint Louis St
Ste C
West Frankfort, IL 62896
Phone (618) 435-5444

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1811385347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W WASHINGTON ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121649",
            "telephone_number": "618-435-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W WASHINGTON ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121649",
            "telephone_number": "618-435-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F SZOKE MD,",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "SZOKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "618-435-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036085242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.