| Benton Community Healthcare | |
|
203 Bailey Ln Suite 1 Benton IL 62812-1969 | |
| (618) 438-5670 | |
| (618) 438-5709 |
| Full Name | Benton Community Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 Bailey Ln, Benton, Illinois |
| Authorized Official Name and Position | Rex P Budde (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6184575200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Community Healthcare 203 Bailey Ln Suite 1 Benton IL 62812-1969 Ph: (618) 438-5670 | Benton Community Healthcare 203 Bailey Ln Suite 1 Benton IL 62812-1969 Ph: (618) 438-5670 |
| NPI Number | 1780985135 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 11/16/2010 |
| Medicare PECOS PAC ID | 3678677390 |
|---|---|
| Medicare Enrollment ID | O20110214000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780985135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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