FAMILY PRACTICE MEDICAL CENTER LTD (NPI# 1669654224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669654224 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE MEDICAL CENTER LTD |
| Practice Address |
302 N Main St Georgetown IL 61846-1728 |
| Mailing Address |
511 W Fairchild St Danville IL 61832-3801 |
| Practice Telephone | 2176622282 |
| Practice Fax Number | 2176626946 |
| Mailing Telephone | 2174312025 |
| Mailing Fax Number | 2174310014 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | DR. GEORGE R GINDI I (OWNER) |
| Authorized Official Telephone | 2176622282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
=========001 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659312072 | Family Practice Medical Center Ltd | Clinic/Center | 511 W Fairchild St, Danville, IL 61832-3801 | 2006-06-09 |
| Street Address |
302 N MAIN ST |
| City | GEORGETOWN |
| State | IL |
| Zip Code | 61846-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831335520 | Kimberly Payne | Speech-Language Pathologist | 313 W 12th St, Georgetown, IL 61846-1014 | 2008-12-30 |
| 1366915597 | Amanda Lynn Stark | Registered Nurse | 404 W 9th St, Georgetown, IL 61846-1419 | 2019-01-10 |
| 1922503465 | Fusion of Wellness: Body, Mind, and Soul, LLC. | Clinic/Center | 712 N Main St, Georgetown, IL 61846-1440 | 2018-03-27 |
| 1730549957 | Local Health, LLC | Pharmacy | 712 N Main St, Georgetown, IL 61846-1440 | 2016-03-01 |
| 1053734004 | Fabienne Nadeen Witherspoon | Nurse Practitioner | 712 N Main St, Georgetown, IL 61846-1440 | 2014-01-28 |
| 1396139481 | Marcy Fegett | Registered Nurse | 319 Stone St, Georgetown, IL 61846-1659 | 2015-03-26 |
| 1114035722 | Georgetown Ridge Farm 4 | Local Education Agency (LEA) | 400 W West St, Georgetown, IL 61846-1846 | 2006-08-25 |
| 1750431979 | Georgetown Fire Protection District Ambulance Service | Ambulance | 211 S Main St, Georgetown, IL 61846-1855 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1396345377 | Doris Donaway | Psychologist | 17 Merganser Rd Lot 95, Georgetown, DE 19947-9552 | 2020-10-28 |
| 1528668803 | Gwendolyn Marie Dicapo | Counselor | 207 S Elm St, Georgetown, TX 78626-5042 | 2020-10-27 |
| 1447850789 | Caitlin Brooke Callihan | Pharmacist | 1001 Cherry Blossom Way # Way7, Georgetown, KY 40324-9564 | 2020-10-27 |
| 1467051953 | Deontay Adrain Winchester | Counselor | 500 S Kaminski St Ste 213, Georgetown, SC 29440-3435 | 2020-10-26 |
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1063011922 | Eden Alcoseba | Spec/Tech, Pathology | 2300 Wolf Ranch Pkwy Apt 6201, Georgetown, TX 78628-7299 | 2020-10-21 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1740888742 | Bryan Hutchison | Counselor | 141 Mountain Valley St, Georgetown, TX 78628-2199 | 2020-10-12 |
| Find all providers in GEORGETOWN | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598818098 | Georgetown Health Group | Clinic/Center | 1530 High Market St, Georgetown, SC 29440 | 2007-01-19 |
| 1346226693 | Marshall Medical Center | Clinic/Center | 6065 State Hwy 193, Georgetown, CA 95634-9623 | 2005-12-19 |
| 1629628920 | Adams County Regional Medical Center | Clinic/Center | 900 Mount Orab Pike, Georgetown, OH 45121-8815 | 2019-09-18 |
| 1972158475 | Baptist Health Medical Group Inc | Clinic/Center | 210 Bevins Ln, Georgetown, KY 40324-6120 | 2019-08-02 |
| 1013334200 | Georgetown Pediatric Center | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-03-25 |
| 1841364007 | Georgetown Physician Associates, LLC | Clinic/Center | 1075 N Fraser St, Georgetown, SC 29440-2848 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 61846 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.