Backroad Health Care Inc
NPI 1134582018ActiveOrganization· Nurse Practitioner, Family· Centralia, IL
Nurse Practitioner, Family in Centralia, Illinois, registered in NPPES in March 2016. The authorized official on file is Paul S. Havrilka, FNP, Fnp/Owner.
Overview
| NPI | 1134582018 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2016 |
| Last updated in NPPES | Mar 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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