Carlinville Family Health Care | |
20613 N Broad St Ste B Carlinville IL 62626-3721 | |
(217) 854-3881 | |
(217) 854-3894 |
Full Name | Carlinville Family Health Care |
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Speciality | Clinic/Center |
Location | 20613 N Broad St Ste B, Carlinville, Illinois |
Authorized Official Name and Position | David Paul Courtney (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2178543141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carlinville Family Health Care 20613 N Broad St Ste B Carlinville IL 62626-3721 Ph: (217) 854-3881 | Carlinville Family Health Care 20613 N Broad St Ste B Carlinville IL 62626-3721 Ph: (217) 854-3881 |
NPI Number | 1992020499 |
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Provider Enumeration Date | 03/29/2010 |
Last Update Date | 01/30/2023 |
Medicare PECOS PAC ID | 9032021373 |
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Medicare Enrollment ID | O20130731000387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992020499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Macoupin Physician Services, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20733 N Broad St, Carlinville, IL 62626 Phone: 217-854-3141 | |
Lydia S Q Villafuerte Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-6262 Fax: 217-854-6264 | |
Macoupin County Public Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-3223 Fax: 217-854-3225 | |
Carlinville Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20613 N Broad St, Carlinville, IL 62626 Phone: 217-854-5099 | |
Carlinville Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 N Broad St, Carlinville, IL 62626 Phone: 217-854-9411 Fax: 217-854-2858 | |
Carlinville Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 121-785-4431 | |
Carlinville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 217-854-4319 Fax: 217-854-2765 |