| Charlotte Ann Russell Medical Center | |
|
801 E Orange St Hoopeston IL 60942-1802 | |
| (214) 283-5644 | |
| (217) 283-7432 |
| Full Name | Charlotte Ann Russell Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 E Orange St, Hoopeston, Illinois |
| Authorized Official Name and Position | Harry Brockus (CEO) |
| Authorized Official Contact | 2172838540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Ann Russell Medical Center 701 E Orange St Hoopeston IL 60942-1801 Ph: (217) 383-6792 | Charlotte Ann Russell Medical Center 801 E Orange St Hoopeston IL 60942-1802 Ph: (214) 283-5644 |
| NPI Number | 1578504544 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 3577456037 |
|---|---|
| Medicare Enrollment ID | O20100727000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578504544 | NPI | - | NPPES |
| 9222940 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0004200 (Illinois) | Primary |
Community Health Partnership Of Il Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 S 8th Ave, Hoopeston, IL 60942 Phone: 217-283-5523 Fax: 217-283-7313 | |
Family Healthcare Of Hoopeston Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 S Dixie Hwy, Hoopeston, IL 60942 Phone: 217-283-5530 Fax: 217-283-6437 |