| Lewis School Health Center | |
|
801 S Lewis Ln Rm 153 Carbondale IL 62901-3408 | |
| (618) 519-9200 | |
| (618) 457-8931 |
| Full Name | Lewis School Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 S Lewis Ln Rm 153, Carbondale, Illinois |
| Authorized Official Name and Position | Christina Carney (CEO) |
| Authorized Official Contact | 6189569521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis School Health Center 109 California St. Po Box 577 Carterville IL 62918-0577 Ph: (618) 985-8221 | Lewis School Health Center 801 S Lewis Ln Rm 153 Carbondale IL 62901-3408 Ph: (618) 519-9200 |
| NPI Number | 1699232512 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1658285671 |
|---|---|
| Medicare Enrollment ID | O20230510000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699232512 | NPI | - | NPPES |
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