| Dci Medicaid Group | |
|
1400 Commercial Ave Cairo IL 62914-1978 | |
| (618) 734-2665 | |
| (618) 734-1999 |
| Full Name | Dci Medicaid Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 Commercial Ave, Cairo, Illinois |
| Authorized Official Name and Position | Lisa Tolbert (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6187342665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dci Medicaid Group 1400 Commercial Ave Cairo IL 62914-1978 Ph: (618) 734-2665 | Dci Medicaid Group 1400 Commercial Ave Cairo IL 62914-1978 Ph: (618) 734-2665 |
| NPI Number | 1588951701 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588951701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04045 (Illinois) | Primary |
Arrowleaf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Washington Ave, Cairo, IL 62914 Phone: 618-734-2665 | |
Delta Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 30th St, Cairo, IL 62914 Phone: 618-734-2665 Fax: 618-734-1999 | |
Delta Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2107 Pine St, Cairo, IL 62914 Phone: 618-734-2665 Fax: 618-734-1999 | |
Arrowleaf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Washington Ave, Cairo, IL 62914 Phone: 618-734-2665 | |
Delta Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 30th St, Cairo, IL 62914 Phone: 618-734-2665 Fax: 618-734-1999 | |
Delta Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 Commercial Ave, Cairo, IL 62914 Phone: 618-734-2665 Fax: 618-734-1999 | |
Community Health & Emergency Services, Inc., Dasa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13245 Kessler Rd, Cairo, IL 62914 Phone: 618-734-4400 Fax: 618-734-2884 |