Full Name | |
---|---|
Speciality | Clinic/center - Student Health |
Location | 301 S Green St, Anna, Illinois |
Authorized Official Name and Position | Bob Odell (SUPERINTENDENT) |
Authorized Official Contact | 6188336812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
301 S Green St Anna IL 62906-1126 Ph: (618) 833-6812 | 301 S Green St Anna IL 62906-1126 Ph: (618) 833-6812 |
NPI Number | 1275653958 |
---|---|
Provider Enumeration Date | 03/29/2007 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275653958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Hunter Reach Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Peach Ridge Road, Anna, IL 62906 Phone: 618-614-1400 Fax: 618-614-1401 | |