| Clark County Family Medicine | |
|
890 Ridgelawn Rd Martinsville IL 62442-0399 | |
| (217) 382-4191 | |
| (217) 382-4248 |
| Full Name | Clark County Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 890 Ridgelawn Rd, Martinsville, Illinois |
| Authorized Official Name and Position | Cathy Jo Galeener (PRACTICE MGR) |
| Authorized Official Contact | 2173824191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark County Family Medicine 890 Ridgelawn Rd Po Box 399 Martinsville IL 62442-0399 Ph: (217) 382-4191 | Clark County Family Medicine 890 Ridgelawn Rd Martinsville IL 62442-0399 Ph: (217) 382-4191 |
| NPI Number | 1750639480 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750639480 | NPI | - | NPPES |
| DR9170 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sbl Martinsville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 E Ridgelawn Rd, Martinsville, IL 62442 Phone: 217-382-4191 | |
Clark County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 Ridgelawn Rd, Martinsville, IL 62442 Phone: 217-382-4191 Fax: 217-382-4248 |