| |
1400 W Main St Carmi IL 62821-1387 | |
(618) 382-4181 | |
(618) 392-3590 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1400 W Main St, Carmi, Illinois |
Authorized Official Name and Position | Frederick L Bernstein (CEO) |
Authorized Official Contact | 6184570450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1400 W Main St Carmi IL 62821-1387 Ph: (618) 382-4181 | 1400 W Main St Carmi IL 62821-1387 Ph: (618) 382-4181 |
NPI Number | 1962632190 |
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Provider Enumeration Date | 07/22/2009 |
Last Update Date | 07/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962632190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Illinois) | Primary |
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Carmi Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Main St, Carmi, IL 62821 Phone: 618-382-4181 Fax: 618-382-3590 | |
Carmi Medical Center Service Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Main St, Carmi, IL 62821 Phone: 618-382-4181 Fax: 618-382-3590 | |