| Holon Inclusive Health System | |
|
207 N Main St Ste 109b Columbia IL 62236-1755 | |
| (314) 470-1220 | |
| (833) 914-0432 |
| Full Name | Holon Inclusive Health System |
|---|---|
| Speciality | Specialist |
| Location | 207 N Main St Ste 109b, Columbia, Illinois |
| Authorized Official Name and Position | Jessica Ann Whelan (CEO) |
| Authorized Official Contact | 3144701220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holon Inclusive Health System Po Box 242 Grover MO 63040-0242 Ph: (636) 236-5128 | Holon Inclusive Health System 207 N Main St Ste 109b Columbia IL 62236-1755 Ph: (314) 470-1220 |
| NPI Number | 1760018774 |
|---|---|
| Provider Enumeration Date | 03/21/2020 |
| Last Update Date | 11/19/2021 |
| Certification Date | 09/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760018774 | NPI | - | NPPES |
| 735518 | Other | ID | MCKESSON SUBMITTER ID |
| 500089936 | Medicaid | MO | |
| 6982159 | Other | MO | AETNA - MEDICAID |
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