NPIMap

Organization Active NPI

Craig W. Furry

  • Primary Care Clinic/Center
  • Marion, IL
National Provider Identifier
1962689240
Registry record updated Feb 2, 2011
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) 998-1900
Fax
(618) 998-1990
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mrs. Kelli S Boss
Title
Billing Department
Phone
(618) 998-1900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Rural Health Clinic/Center 261QR1300X

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) 998-1900

Other names 1

  • Southern Illinois Immediate Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1962689240",
    "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": "618-998-1900",
            "fax_number": "618-998-1990"
        },
        {
            "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": "618-998-1900",
            "fax_number": "618-998-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG W. FURRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "618-998-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Illinois Immediate Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2011; 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.