Carlinville Rural Health | |
20613 N Broad St Carlinville IL 62626-3717 | |
(217) 854-5099 | |
Not Available |
Full Name | Carlinville Rural Health |
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Speciality | Clinic/Center |
Location | 20613 N Broad St, Carlinville, Illinois |
Authorized Official Name and Position | Alan Nerone (SENIOR VICE PRESIDENT & CFO) |
Authorized Official Contact | 2175287541 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carlinville Rural Health 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 | Carlinville Rural Health 20613 N Broad St Carlinville IL 62626-3717 Ph: (217) 854-5099 |
NPI Number | 1437369030 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/29/2017 |
Medicare PECOS PAC ID | 0547166076 |
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Medicare Enrollment ID | O20070515000609 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437369030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Illinois) | 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 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 |