BACKROAD HEALTH CARE INC – Family Nurse Practitioner, NPI 1134582018

BACKROAD HEALTH CARE INC is a healthcare provider. based in Centralia, Illinois. specializing in Family Nurse Practitioner. The NPI Number for BACKROAD HEALTH CARE INC is 1134582018

Main info

Organization
Name
BACKROAD HEALTH CARE INC
NPI
1134582018
Phone
(618) 419-0011
Address
314 S POPLAR ST UNIT 864
Authorized Official
MR. PAUL S HAVRILKA III FNP/OWNER FNP
Enumeration Date
30 March 2016
Last Update Date
18 March 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for BACKROAD HEALTH CARE INC

  • 314 S POPLAR ST UNIT 864

    CENTRALIA, IL 628010848

    Phone: (618) 419-0011

    Fax: (888) 960-2931

    Type: Mailing

  • 7825A E Grant Rd

    Walnut Hill, IL 628931613

    Phone: (618) 545-0707

    Fax: (888) 802-1633

    Type: Location

  • 211, South Perrine Avenue, Centralia, Marion County, Illinois, 62801, United States

    CENTRALIA, IL 628013635

    Phone: (618) 419-0011

    Fax: (888) 980-2931

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62801)

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Reviews

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Frequently asked questions

Is there an official ID for BACKROAD HEALTH CARE INC in U.S. healthcare records?
The official identifier for BACKROAD HEALTH CARE INC is NPI 1134582018.
Is BACKROAD HEALTH CARE INC shown as active in public data?
Registry records indicate BACKROAD HEALTH CARE INC maintains an active NPI.
What clinical focus is listed for BACKROAD HEALTH CARE INC?
At a glance, BACKROAD HEALTH CARE INC is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BACKROAD HEALTH CARE INC associated with Centralia?
Public fields place BACKROAD HEALTH CARE INC around Centralia, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for BACKROAD HEALTH CARE INC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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