Jacksonville, LLC
Jacksonville, LLC is a healthcare organization registered as Rural Health Clinic/Center in Jacksonville, IL, holding Type 2 (organization) NPI 1528210705 since 2008. The authorized official on file is J. Travis Dowell, Vice President, Hcna and Operations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528210705 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jacksonville, LLC |
| Other name | <Unavail> |
| Practice address | 800 W STATE ST, Jacksonville, IL, 62650 |
| Phone | 2172439471 |
| Fax | 2172435359 |
| Enumeration date | 2008-10-21 |
| Last updated in NPPES | 2008-10-21 |
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: 1528210705 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 800 W STATE ST, Jacksonville, IL, 62650
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164495941 | John Peterson | Individual | Family Medicine Physician | Jacksonville, IL |
| 1942276662 | Shana Whitehead | Individual | Physician Assistant | Jacksonville, IL |
| 1942210109 | Healthcare Network Associates of Sangamon | Organization | Family Medicine Physician | Jacksonville, IL |
| 1922161280 | Healthcare Network Associates | Organization | Multi-Specialty Clinic/Center | Jacksonville, IL |
| 1740522101 | Diane Lietz | Individual | Family Nurse Practitioner | Jacksonville, IL |
Verify this record
Cross-check NPI 1528210705 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
Who is the authorized official for Jacksonville, LLC?
What is the NPI number for Jacksonville, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-21.