| |
428 S 36th St Quincy IL 62301-5924 | |
(217) 224-6300 | |
(217) 224-4329 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 428 S 36th St, Quincy, Illinois |
Authorized Official Name and Position | Mark Conover (CHIEF REVENUE OFFICER) |
Authorized Official Contact | 5736031460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1601 Old South River Rd Saint Charles MO 63303-4120 Ph: (636) 224-1210 | 428 S 36th St Quincy IL 62301-5924 Ph: (217) 224-6300 |
NPI Number | 1689232704 |
---|---|
Provider Enumeration Date | 06/04/2019 |
Last Update Date | 11/16/2023 |
Certification Date | 11/16/2023 |
Medicare PECOS PAC ID | 0244256246 |
---|---|
Medicare Enrollment ID | O20191127000777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689232704 | NPI | - | NPPES |
Living Hope Counseling Center, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Maine St, Suite 13, Quincy, IL 62301 Phone: 217-228-1887 Fax: 217-228-1884 | |
Bartlow Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 N 24th St Ste A, Quincy, IL 62301 Phone: 217-223-4673 Fax: 630-563-9020 | |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 418 S 36th St, Quincy, IL 62301 Phone: 217-224-6300 Fax: 217-224-4329 | |