OrganizationActive
Central Counties Health Centers, Inc.
NPI 1669520177 · Family Medicine Physician · Springfield, IL
Provider details
- NPI number
- 1669520177
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cindy Kavanagh, Accountant(217) 788-2300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 N 5th St
St John'S Breadline
Springfield, IL 62702-5202
Phone: (217) 788-2300
Fax: (217) 788-2343
Street-level locationGet directions
Mailing address
2239 E Cook St
Springfield, IL 62703-1944
Other names (DBA / former)
- Doing business as
- Capitol Community Health Center - St John'S Breadline
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2010-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.