| Fairfield Community Health Center | |
|
1007 W Main St Fairfield IL 62837-2308 | |
| (618) 842-4470 | |
| (618) 842-3437 |
| Full Name | Fairfield Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 W Main St, Fairfield, Illinois |
| Authorized Official Name and Position | Kimberly A. Mitroka (CEO) |
| Authorized Official Contact | 6187242436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Community Health Center Po Box 155 Christopher IL 62822-0155 Ph: (618) 724-2401 | Fairfield Community Health Center 1007 W Main St Fairfield IL 62837-2308 Ph: (618) 842-4470 |
| NPI Number | 1902170632 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 8224947387 |
|---|---|
| Medicare Enrollment ID | O20120320000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902170632 | NPI | - | NPPES |
| Provider Name | Virginia Leigh Mabrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306160932 PECOS PAC ID: 2769888759 Enrollment ID: I20210830002831 |
Wayne Family Counseling Ctr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-2126 | |
Mt. Vernon Counseling Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 114 Andrews Dr, Fairfield, IL 62837 Phone: 312-841-7674 Fax: 618-270-0524 | |
Egyptian Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-273-3326 Fax: 618-273-2808 | |
Wayne Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-4154 | |
Irina Podolsky Psyd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1623 W Main St, Fairfield, IL 62837 Phone: 312-320-5137 |