Cch Medical Clinic | |
929 Stacey Burk Dr Flora IL 62839-3241 | |
(618) 662-2191 | |
(618) 662-1482 |
Full Name | Cch Medical Clinic |
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Speciality | Clinic/Center |
Location | 929 Stacey Burk Dr, Flora, Illinois |
Authorized Official Name and Position | Carrie Miller (CHIEF NURSING OFFICER) |
Authorized Official Contact | 6186622131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cch Medical Clinic Po Box 280 Flora IL 62839-0280 Ph: (618) 662-2131 | Cch Medical Clinic 929 Stacey Burk Dr Flora IL 62839-3241 Ph: (618) 662-2191 |
NPI Number | 1811946411 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 09/17/2021 |
Medicare PECOS PAC ID | 0042101982 |
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Medicare Enrollment ID | O20040322000969 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811946411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Michael P Klingler |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447450085 PECOS PAC ID: 7416021936 Enrollment ID: I20080801000167 |
Provider Name | Harry A Carter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538165261 PECOS PAC ID: 0244360071 Enrollment ID: I20100604000815 |
Provider Name | Jason B Jerabek |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396853008 PECOS PAC ID: 5890826986 Enrollment ID: I20110114001075 |
Provider Name | Billie J Toland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689008591 PECOS PAC ID: 3577799113 Enrollment ID: I20131204000144 |
Provider Name | Jeanne E Holdren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497860811 PECOS PAC ID: 7315161593 Enrollment ID: I20140609001296 |
Provider Name | Brandon L Cycholl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144208349 PECOS PAC ID: 7911074448 Enrollment ID: I20150923000906 |
Provider Name | Nicole R Uhlmann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922417740 PECOS PAC ID: 9830491448 Enrollment ID: I20160411001212 |
Provider Name | Derek James Storck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396282448 PECOS PAC ID: 6406133909 Enrollment ID: I20180312001688 |
Provider Name | Catherine N Deters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013496819 PECOS PAC ID: 3274883228 Enrollment ID: I20180912002007 |
Provider Name | Destiny R Dannells |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427606920 PECOS PAC ID: 1951735380 Enrollment ID: I20191218001088 |
Provider Name | Kara B Dobyns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093341687 PECOS PAC ID: 4789013947 Enrollment ID: I20200409001059 |
Provider Name | Myranda M Greenwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205479961 PECOS PAC ID: 5092145185 Enrollment ID: I20200413002016 |
Provider Name | Krystal Volk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639776297 PECOS PAC ID: 0042622516 Enrollment ID: I20201208001053 |
Provider Name | Jennifer J Tinsley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982134557 PECOS PAC ID: 1658780697 Enrollment ID: I20210504002187 |
Provider Name | Jacklyn K Stanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073285482 PECOS PAC ID: 1153717715 Enrollment ID: I20220407000209 |
Provider Name | Christina L Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528708260 PECOS PAC ID: 9133516107 Enrollment ID: I20220420002985 |
Provider Name | Jessie R Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063766830 PECOS PAC ID: 1951785666 Enrollment ID: I20220830002079 |
Provider Name | Sara Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336857390 PECOS PAC ID: 1759753569 Enrollment ID: I20230203001787 |
Provider Name | Heather L Irvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326820218 PECOS PAC ID: 4587011283 Enrollment ID: I20231116001907 |
Provider Name | Shannon N Quandt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164897260 PECOS PAC ID: 3274800487 Enrollment ID: I20240115000145 |
Provider Name | Amy J Deel-hout |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124341292 PECOS PAC ID: 8820440290 Enrollment ID: I20240122002112 |
Provider Name | Heather M Zimmerman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275302986 PECOS PAC ID: 2668815796 Enrollment ID: I20240206002341 |
Provider Name | Scout M Sanders |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093575508 PECOS PAC ID: 4284075292 Enrollment ID: I20240508001846 |
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J. Calvin Wilson, Dds, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E North Ave, Flora, IL 62839 Phone: 618-662-6907 |