| Harrisburg Medical Center Inc | |
|
100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 | |
| (618) 253-7671 | |
| (618) 252-3763 |
| Full Name | Harrisburg Medical Center Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 100 Dr Warren Tuttle Dr, Harrisburg, Illinois |
| Authorized Official Name and Position | Donald Hutson (PRESIDENT/CEO) |
| Authorized Official Contact | 6182537671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisburg Medical Center Inc 100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 Ph: (618) 253-7671 | Harrisburg Medical Center Inc 100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 Ph: (618) 253-7671 |
| NPI Number | 1073581872 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 9638083884 |
|---|---|
| Medicare Enrollment ID | O20100226000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073581872 | NPI | - | NPPES |
| 364 | Other | IL | BLUE CROSS PROVIDER NO |
| 143471 | Other | IL | HEALTHLINK |
| 3575 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0000521 (Illinois) | Primary |
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