| Carlinville Family Practice Center | |
|
15574 Route 108 Carlinville IL 62626-4091 | |
| (121) 785-4431 | |
| Not Available |
| Full Name | Carlinville Family Practice Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 15574 Route 108, Carlinville, Illinois |
| Authorized Official Name and Position | Brian L Quarton (DIRECTOR) |
| Authorized Official Contact | 2178394491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlinville Family Practice Center 15574 Route 108 Carlinville IL 62626-4091 Ph: (121) 785-4431 | Carlinville Family Practice Center 15574 Route 108 Carlinville IL 62626-4091 Ph: (121) 785-4431 |
| NPI Number | 1538369277 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 06/09/2023 |
| Medicare PECOS PAC ID | 2365350253 |
|---|---|
| Medicare Enrollment ID | O20030114000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538369277 | NPI | - | NPPES |
| 1649460510 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 217-854-4319 Fax: 217-854-2765 |