CC MEDICAL CLINIC SC – NPI #1952427163
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

CC MEDICAL CLINIC SC is a provider located in TAYLORVILLE, IL. NPPES has assigned the NPI number 1952427163 to CC MEDICAL CLINIC SC on March 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was previously updated about 11 years ago on Oct 26, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CC MEDICAL CLINIC SC below.

NPI Profile for
CC MEDICAL CLINIC SC

NPI Number
1952427163
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CC MEDICAL CLINIC SC
Primary location
1141 N CHENEY ST
TAYLORVILLE, IL 62568-2741
Phone: (217) 287-7477 Fax: (217) 287-7511
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HWA-LONG CHEN
PRESIDENT
Phone: (217) 287-7477
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)
IL 036-049201

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.