Carle Rmh Primary Care | |
605 E Main St Olney IL 62450-2163 | |
(618) 392-1140 | |
Not Available |
Full Name | Carle Rmh Primary Care |
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Speciality | Clinic/Center |
Location | 605 E Main St, Olney, Illinois |
Authorized Official Name and Position | Harry Brockus (CEO) |
Authorized Official Contact | 6183957340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carle Rmh Primary Care 800 E Locust St Olney IL 62450-2553 Ph: () - | Carle Rmh Primary Care 605 E Main St Olney IL 62450-2163 Ph: (618) 392-1140 |
NPI Number | 1326566290 |
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Provider Enumeration Date | 08/31/2017 |
Last Update Date | 12/22/2020 |
Medicare PECOS PAC ID | 3870565732 |
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Medicare Enrollment ID | O20171214000065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326566290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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