| Carrier Mills Community Health Center | |
|
7211 Us 45 S Carrier Mills IL 62917-1305 | |
| (618) 294-8246 | |
| (618) 294-8247 |
| Full Name | Carrier Mills Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7211 Us 45 S, Carrier Mills, Illinois |
| Authorized Official Name and Position | Kimberly Mitroka (CEO) |
| Authorized Official Contact | 6187241619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrier Mills Community Health Center Po Box 155 Christopher IL 62822-0155 Ph: (618) 724-2401 | Carrier Mills Community Health Center 7211 Us 45 S Carrier Mills IL 62917-1305 Ph: (618) 294-8246 |
| NPI Number | 1548994817 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 12/28/2022 |
| Medicare PECOS PAC ID | 8224947387 |
|---|---|
| Medicare Enrollment ID | O20221031000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548994817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sloan Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7211 Us Highway 45 S, Suite C, Carrier Mills, IL 62917 Phone: 618-994-2321 Fax: 618-994-2030 |