Carle Eureka Hospital | |
415 W Front St Roanoke IL 61561-7817 | |
(309) 923-7456 | |
(309) 923-7839 |
Full Name | Carle Eureka Hospital |
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Speciality | Clinic/Center |
Location | 415 W Front St, Roanoke, Illinois |
Authorized Official Name and Position | Aron Klein (VICE PRESIDENT FINANCE) |
Authorized Official Contact | 3092682410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carle Eureka Hospital 1304 Franklin Ave Normal IL 61761-3558 Ph: (309) 268-2410 | Carle Eureka Hospital 415 W Front St Roanoke IL 61561-7817 Ph: (309) 923-7456 |
NPI Number | 1568061059 |
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Provider Enumeration Date | 10/26/2020 |
Last Update Date | 10/26/2020 |
Medicare PECOS PAC ID | 3870914393 |
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Medicare Enrollment ID | O20201102000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568061059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Osf Healthcare - Medical Group - Roanoke Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |