| Chestnut Family Health Center | |
|
2148 Vadalabene Dr Maryville IL 62062-5632 | |
| (618) 877-4420 | |
| Not Available |
| Full Name | Chestnut Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2148 Vadalabene Dr, Maryville, 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 2148 Vadalabene Dr Maryville IL 62062-5632 Ph: (618) 877-4420 |
| NPI Number | 1467174177 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 1052393063 |
|---|---|
| Medicare Enrollment ID | O20221110000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467174177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Laura Bird, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 618-288-0656 Fax: 618-288-0736 | |
Metro East Healthcare Limited Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2133 Vadalabene Dr Ste 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 | |
Easy Lab Tech, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 N Center St, Maryville, IL 62062 Phone: 618-772-7222 | |
Innovative Women's Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2016 Vadalabene Dr Ste D, Maryville, IL 62062 Phone: 618-444-5475 | |
Maryville Women's Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-2970 Fax: 618-288-3572 | |
Mark Fedder, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 211, Maryville, IL 62062 Phone: 618-288-0346 Fax: 618-288-0349 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 |