| Carle Danville On Fairchild | |
|
311 W Fairchild St Danville IL 61832-3876 | |
| (217) 431-7600 | |
| Not Available |
| Full Name | Carle Danville On Fairchild |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 W Fairchild St, Danville, Illinois |
| Authorized Official Name and Position | Harry Brockus (CEO) |
| Authorized Official Contact | 2172838540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carle Danville On Fairchild 701 E Orange St Hoopeston IL 60942-1801 Ph: (217) 383-6792 | Carle Danville On Fairchild 311 W Fairchild St Danville IL 61832-3876 Ph: (217) 431-7600 |
| NPI Number | 1669802419 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 11/27/2013 |
| Medicare PECOS PAC ID | 3577456037 |
|---|---|
| Medicare Enrollment ID | O20140130000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669802419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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