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500 S Scott Ave Newton IL 62448-1665 | |
(618) 783-8713 | |
(618) 783-4170 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 500 S Scott Ave, Newton, Illinois |
Authorized Official Name and Position | Reginald L Vernier (OWNER) |
Authorized Official Contact | 6187838713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 S Scott Ave Newton IL 62448-1665 Ph: (618) 783-8713 | 500 S Scott Ave Newton IL 62448-1665 Ph: (618) 783-8713 |
NPI Number | 1760660567 |
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Provider Enumeration Date | 02/04/2008 |
Last Update Date | 07/29/2008 |
Identifier | Type | State | Issuer |
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1760660567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 036082451 (Illinois) | Primary |
Mid-illinois Medical Care Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Washington St Ste 1, Newton, IL 62448 Phone: 618-783-0954 Fax: 618-783-0958 |