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1250 Cedar Ct Carbondale IL 62901-5334 | |
| (618) 351-1213 | |
| (618) 351-1905 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1250 Cedar Ct, Carbondale, Illinois |
| Authorized Official Name and Position | Frederick Bernstein (C.E.O.) |
| Authorized Official Contact | 6184570450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3008 Carbondale IL 62902-3008 Ph: (618) 457-0450 | 1250 Cedar Ct Carbondale IL 62901-5334 Ph: (618) 351-1213 |
| NPI Number | 1073572350 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073572350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Carbondale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-457-5200 Fax: 618-549-5128 | |
Southern Illinois Gi Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434 | |
Carbondale Community High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Giant City Rd, Carbondale, IL 62902 Phone: 618-457-4722 Fax: 618-457-3353 | |
Brown's Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Jackson St, Carbondale, IL 62901 Phone: 618-351-9559 |