| Mt Vernon Community Health Center | |
|
2920 Veterans Parkway Mt Vernon IL 62864 | |
| (618) 244-6544 | |
| (618) 244-6577 |
| Full Name | Mt Vernon Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2920 Veterans Parkway, Mt Vernon, Illinois |
| Authorized Official Name and Position | Kim A Mitroka (PRESIDENT & CEO) |
| Authorized Official Contact | 6187242401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Vernon Community Health Center Po Box 155 Rea Clinic Christopher IL 62822 Ph: (618) 724-2401 | Mt Vernon Community Health Center 2920 Veterans Parkway Mt Vernon IL 62864 Ph: (618) 244-6544 |
| NPI Number | 1134161805 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Medicare PECOS PAC ID | 8224947387 |
|---|---|
| Medicare Enrollment ID | O20051027000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134161805 | NPI | - | NPPES |
| 141022 | Other | UNITED GOVERNMENT SERVICE |
| Provider Name | Virginia Leigh Mabrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306160932 PECOS PAC ID: 2769888759 Enrollment ID: I20210830002831 |
Dynamic Counseling And Consultation Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3600 S Water Tower Pl, Mt Vernon, IL 62864 Phone: 314-719-6263 Fax: 800-335-4761 | |
Lutheran Child And Family Service Of Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 S. 42nd St, Mt Vernon, IL 62864 Phone: 618-242-3284 Fax: 618-242-3288 | |
Substance Abuse Outpatient Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16338 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1994 Fax: 618-242-6392 | |
Jefferson County Comprehensive Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16342 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 |