| Chestnut Family Health Center | |
|
12 N 64th St Belleville IL 62223-3809 | |
| (618) 877-4420 | |
| Not Available |
| Full Name | Chestnut Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 N 64th St, Belleville, Illinois |
| Authorized Official Name and Position | Megan Marie Taylor (MANAGED CARE SUPERVISOR) |
| Authorized Official Contact | 8889243786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Family Health Center 1003 Martin Luther King Dr Bloomington IL 61701-1429 Ph: () - | Chestnut Family Health Center 12 N 64th St Belleville IL 62223-3809 Ph: (618) 877-4420 |
| NPI Number | 1801508544 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 1052393063 |
|---|---|
| Medicare Enrollment ID | O20230104000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801508544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste 160, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 | |
Pc Associates ,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Drive, Ste. 220, Belleville, IL 62226 Phone: 618-235-6191 Fax: 618-235-6716 | |
Healthcare Physicians Of Southern Illinois, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr Ste 400, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Albarcha Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-355-9972 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 N 27th St, Belleville, IL 62226 Phone: 618-235-6600 |