| Benton Rural Health Clinic | |
|
401 E Park St Benton IL 62812-1920 | |
| (618) 435-2505 | |
| (618) 438-6015 |
| Full Name | Benton Rural Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 401 E Park St, Benton, Illinois |
| Authorized Official Name and Position | Cathy D Lisenby (OFFICE MANAGER) |
| Authorized Official Contact | 6184352505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Rural Health Clinic 401 E Park St Benton IL 62812-1920 Ph: (618) 435-2505 | Benton Rural Health Clinic 401 E Park St Benton IL 62812-1920 Ph: (618) 435-2505 |
| NPI Number | 1841405610 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841405610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
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