Sihf Healthcare - Mattoon | |
911 Remington Rd Ste B Mattoon IL 61938-4210 | |
(217) 234-3091 | |
(217) 234-3094 |
Full Name | Sihf Healthcare - Mattoon |
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Speciality | Clinic/Center |
Location | 911 Remington Rd Ste B, Mattoon, Illinois |
Authorized Official Name and Position | Larry Mcculley (PRESIDENT/CEO) |
Authorized Official Contact | 6183320694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sihf Healthcare - Mattoon 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Sihf Healthcare - Mattoon 911 Remington Rd Ste B Mattoon IL 61938-4210 Ph: (217) 234-3091 |
NPI Number | 1023371143 |
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Provider Enumeration Date | 06/22/2012 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Medicare PECOS PAC ID | 1456256874 |
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Medicare Enrollment ID | O20120806000072 |
Identifier | Type | State | Issuer |
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1023371143 | NPI | - | NPPES |
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