| Center For Your Health Ltd | |
|
501 N Lincoln St Philo IL 61864-9653 | |
| (217) 684-2419 | |
| (217) 684-2356 |
| Full Name | Center For Your Health Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N Lincoln St, Philo, Illinois |
| Authorized Official Name and Position | Susan K Mantell (PHYSICIAN) |
| Authorized Official Contact | 2176842419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Your Health Ltd 501 N Lincoln St Philo IL 61864 Ph: (217) 684-2419 | Center For Your Health Ltd 501 N Lincoln St Philo IL 61864-9653 Ph: (217) 684-2419 |
| NPI Number | 1760562961 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 1254338494 |
|---|---|
| Medicare Enrollment ID | O20061031000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760562961 | NPI | - | NPPES |
| 214177 | Other | IL | GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Melonie M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811062623 PECOS PAC ID: 0446221881 Enrollment ID: I20040802000351 |
| Provider Name | Susan K Mantell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881651461 PECOS PAC ID: 6709802952 Enrollment ID: I20051018000552 |