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NPI · 1730425851 · NPPES-sourced

Fountain Healthcare Limited Liability Company

ActiveAdult Medicine Physician
NPI Number
1730425851
Type 2 · Organisation
Taxonomy Code
207QA0505X
Contact
(815) 793-6611
License IL · 036099987
Last Updated
Enumerated
Primary practice addressIL · 61364-9644
1639 N 1590th RdStreator, IL 61364-9644
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About this NPIWhat this record shows.

NPI 1730425851 is registered to Fountain Healthcare Limited Liability Company, a healthcare organisation classified as "Adult Medicine Physician" and located at 1639 N 1590th Rd in Streator, Illinois. The organisation's authorised official is Mark Wargo. The organisation has been enumerated in the NPI registry since 2012.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Fountain Healthcare Limited Liability Company accepts. To confirm in-network status with your specific health plan, contact Fountain Healthcare Limited Liability Company directly at (815) 793-6611.

Frequently asked

Yes. NPI 1730425851 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (815) 793-6611.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Fountain Healthcare Limited Liability Company is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207QA0505X
Last updated
Enumerated
StatusActive
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