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1005 Broadway St Quincy IL 62301-2834 | |
(217) 223-8400 | |
(217) 223-6891 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1005 Broadway St, Quincy, Illinois |
Authorized Official Name and Position | Maureen Kahn (PRESIDENT / CEO) |
Authorized Official Contact | 2172238400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1005 Broadway St Quincy IL 62301-2834 Ph: (217) 223-8400 | 1005 Broadway St Quincy IL 62301-2834 Ph: (217) 223-8400 |
NPI Number | 1245907815 |
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Provider Enumeration Date | 08/23/2021 |
Last Update Date | 07/11/2022 |
Medicare PECOS PAC ID | 3072422534 |
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Medicare Enrollment ID | O20210831000206 |
Identifier | Type | State | Issuer |
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1245907815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Broadway St, Quincy, IL 62305 Phone: 217-228-1060 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S 24th St Ste 100, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |