Salem Medical Center is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Salem, Illinois. The current practice location for Salem Medical Center is 1275 Hawthorn Rd, Salem, Illinois. For appointments, you can reach them via phone at
(618) 548-4545. The mailing address for Salem Medical Center is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.
Salem Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1376588848. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(618) 548-4545.
Dental Care Clinic Profile
| Full Name | Salem Medical Center |
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| Speciality | Clinic/Center |
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| Location | 1275 Hawthorn Rd, Salem, Illinois |
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| Authorized Official Name and Position | Larry Mcculley (CHIEF OPERATING OFFICER) |
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| Authorized Official Contact | 6183320783 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Salem Medical Center
8080 State St
East Saint Louis
IL 62203-1808
Ph: (618) 397-3303 | Salem Medical Center
1275 Hawthorn Rd
Salem
IL 62881-1028
Ph: (618) 548-4545 |
NPI Details:
| NPI Number | 1376588848 |
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| Provider Enumeration Date | 06/18/2006 |
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| Last Update Date | 04/20/2008 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1456256874 |
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| Medicare Enrollment ID | O20081029000945 |
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Medical Identifiers
Medical identifiers for Salem Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376588848 | NPI | - | NPPES |
| 201518 | Other | IL | WPS MEDICARE GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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