<unavail> in Granite City, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Granite City, Illinois. The current practice location for is 50 Northgate Industrial Dr, Granite City, Illinois. For appointments, you can reach them via phone at (618) 512-1919. The mailing address for is 1003 Martin Luther King Dr, Bloomington, Illinois and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326417080. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 512-1919.

Contact Information


	50 Northgate Industrial Dr Granite City IL 62040-6805
	(618) 512-1919
	(618) 512-1920

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	50 Northgate Industrial Dr, Granite City, Illinois
Authorized Official Name and Position	Megan Marie Taylor (MANGED CARE SUPERVISOR)
Authorized Official Contact	8889243786
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1003 Martin Luther King Dr Bloomington IL 61701-1429 Ph: () -	50 Northgate Industrial Dr Granite City IL 62040-6805 Ph: (618) 512-1919

NPI Details:

NPI Number	1326417080
Provider Enumeration Date	09/23/2015
Last Update Date	03/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	1052393063
Medicare Enrollment ID	O20160919001079

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326417080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Granite City, IL

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- Medicare Primary Care in Granite City, IL