| First Choice Healthcare | |
|
110 N Burr Blvd Kewanee IL 61443-2214 | |
| (309) 852-5272 | |
| Not Available |
| Full Name | First Choice Healthcare |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 110 N Burr Blvd, Kewanee, Illinois |
| Authorized Official Name and Position | Tara Lafollette (CREDENTIALING REPRESENTATIVE) |
| Authorized Official Contact | 3098520197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Healthcare 110 N Burr Blvd Kewanee IL 61443-2214 Ph: (309) 852-5272 | First Choice Healthcare 110 N Burr Blvd Kewanee IL 61443-2214 Ph: (309) 852-5272 |
| NPI Number | 1811730492 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811730492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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