| Bunker Hill Health Center | |
|
144 N Washington St Bunker Hill IL 62014-1316 | |
| (618) 397-3303 | |
| (618) 397-7802 |
| Full Name | Bunker Hill Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 144 N Washington St, Bunker Hill, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bunker Hill Health Center 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Bunker Hill Health Center 144 N Washington St Bunker Hill IL 62014-1316 Ph: (618) 397-3303 |
| NPI Number | 1659506939 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 04/12/2011 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20090708000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659506939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bunker Hill Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 North Washington Street, Bunker Hill, IL 62014 Phone: 618-585-6290 Fax: 618-585-6293 |