| |
7 South Hospital Drive Murphysboro IL 62966-3333 | |
(618) 687-3418 | |
(618) 684-2748 |
Full Name | |
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Speciality | Clinic/Center |
Location | 7 South Hospital Drive, Murphysboro, 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 |
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Po Box 577 109 California Street Carterville IL 62918-0577 Ph: (618) 985-8221 | 7 South Hospital Drive Murphysboro IL 62966-3333 Ph: (618) 687-3418 |
NPI Number | 1245260645 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 07/17/2024 |
Certification Date | 07/17/2024 |
Medicare PECOS PAC ID | 1658285671 |
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Medicare Enrollment ID | O20050531000505 |
Identifier | Type | State | Issuer |
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1245260645 | NPI | - | NPPES |
10032052 | Other | IL | BCBS |
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