| Charleston Health Center | |
|
626 W Lincoln Ave Charleston IL 61920-2444 | |
| (217) 345-7702 | |
| (217) 345-7705 |
| Full Name | Charleston Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 626 W Lincoln Ave, Charleston, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CEO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Health Center 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Charleston Health Center 626 W Lincoln Ave Charleston IL 61920-2444 Ph: (217) 345-7702 |
| NPI Number | 1487070835 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20140422000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487070835 | NPI | - | NPPES |
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