| Center For Medical Arts Rural Health | |
|
2601 W Main St Carbondale IL 62901-1031 | |
| (618) 549-5361 | |
| (618) 351-4878 |
| Full Name | Center For Medical Arts Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 W Main St, Carbondale, Illinois |
| Authorized Official Name and Position | Warren P Ladner (SR VP/CFO) |
| Authorized Official Contact | 6184575200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Medical Arts Rural Health Po Box 3988 Carbondale IL 62902-3988 Ph: (618) 457-5200 | Center For Medical Arts Rural Health 2601 W Main St Carbondale IL 62901-1031 Ph: (618) 549-5361 |
| NPI Number | 1154510808 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 3678677390 |
|---|---|
| Medicare Enrollment ID | O20080111000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154510808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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