| Mobile Unit 1 | |
|
109 California St Carterville IL 62918-1923 | |
| (618) 519-9200 | |
| Not Available |
| Full Name | Mobile Unit 1 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 109 California St, Carterville, Illinois |
| Authorized Official Name and Position | Christina Carney (CEO) |
| Authorized Official Contact | 6189569521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Unit 1 109 California St Po Box 577 Carterville IL 62918 Ph: (618) 519-9200 | Mobile Unit 1 109 California St Carterville IL 62918-1923 Ph: (618) 519-9200 |
| NPI Number | 1366156150 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366156150 | NPI | - | NPPES |
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Centerstone Of Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3561 |