NPI Portal NPI Lookup & Verification

Jacksonville, LLC

Jacksonville, LLC is a healthcare organization registered as Rural Health Clinic/Center in Jacksonville, IL, holding Type 2 (organization) NPI 1437301611 since 2008. The authorized official on file is J. Travis Dowell, Vice President, Hcna and Operations.

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NPI 1437301611
Entity type Organization (Type 2)
Legal business name Jacksonville, LLC
Other name <Unavail>
Practice address 1606 W LAFAYETTE AVE, Jacksonville, IL, 62650
Phone 2172451421
Fax 2172431699
Enumeration date 2008-10-21
Last updated in NPPES 2012-10-09

Authorized official

Name J. Travis Dowell
Title Vice President, Hcna and Operations
Phone 2177883342

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QR1300X Rural Health Clinic/Center Primary
Copy-ready billing details
Provider: Jacksonville, LLC
NPI: 1437301611
Taxonomy: 261QR1300X (Rural Health Clinic/Center)
Address: 1606 W LAFAYETTE AVE, Jacksonville, IL, 62650

Providers at this address

NPI Name Type Specialty Location
1902804495 David Coultas Individual Internal Medicine Physician Jacksonville, IL
1013980101 Tara Ramsey Individual Internal Medicine Physician Jacksonville, IL
1518976497 Healthcare Network Associates Organization Internal Medicine Physician Jacksonville, IL
1881947174 Memorial Physician Services Organization Rural Health Clinic/Center Jacksonville, IL

Verify this record

Cross-check NPI 1437301611 against the authoritative CMS record: view Jacksonville, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-09. Verify at npiregistry.cms.hhs.gov.
Where is Jacksonville, LLC located?
The practice location on file with NPPES is in Jacksonville, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-10-09.