| American Healthcare Systems Illinois Llc | |
|
2100 Madison Ave Granite City IL 62040-4713 | |
| (618) 798-3000 | |
| Not Available |
| Full Name | American Healthcare Systems Illinois Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Authorized Official Name and Position | Jonathan Burket (COMPLIANCE) |
| Authorized Official Contact | 8186660602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Healthcare Systems Illinois Llc 2100 Madison Ave Granite City IL 62040-4713 Ph: () - | American Healthcare Systems Illinois Llc 2100 Madison Ave Granite City IL 62040-4713 Ph: (618) 798-3000 |
| NPI Number | 1043918576 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 2769857481 |
|---|---|
| Medicare Enrollment ID | O20230517000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043918576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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