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5900 Bond Ave Cahokia Heights IL 62207-2326 | |
(618) 332-3060 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 5900 Bond Ave, Cahokia Heights, Illinois |
Authorized Official Name and Position | Brian Rowe (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 6184827054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5900 Bond Ave Cahokia Heights IL 62207-2326 Ph: (618) 332-3060 | 5900 Bond Ave Cahokia Heights IL 62207-2326 Ph: (618) 332-3060 |
NPI Number | 1750992459 |
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Provider Enumeration Date | 08/14/2020 |
Last Update Date | 06/27/2024 |
Certification Date | 06/27/2024 |
Medicare PECOS PAC ID | 7416843370 |
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Medicare Enrollment ID | O20210210002329 |
Identifier | Type | State | Issuer |
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1750992459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |