Full Name | |
---|---|
Speciality | Clinic/center - Student Health |
Location | 608 S Main St, Anna, Illinois |
Authorized Official Name and Position | James Lee Woodward (SUPERINTENDENT) |
Authorized Official Contact | 6188338502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
608 S Main St Anna IL 62906-1247 Ph: (618) 833-8502 | 608 S Main St Anna IL 62906-1247 Ph: (618) 833-8502 |
NPI Number | 1598939209 |
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Provider Enumeration Date | 04/15/2008 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598939209 | 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 | |