| Clark County Family Medicine | |
|
890 Ridgelawn Rd Martinsville IL 62442-0399 | |
| (217) 382-4191 | |
| (217) 382-4248 |
| Full Name | Clark County Family Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 890 Ridgelawn Rd, Martinsville, Illinois |
| Authorized Official Name and Position | David Paul Davis (OWNER) |
| 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 | 1841237583 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841237583 | NPI | - | NPPES |
| 316704395 | Medicaid | IL | |
| 0004400750 | Other | IL | AETNA |
| 238297 | Other | IL | HEALTHLINK |
| 006686 | Other | IL | HEALTH ALLIANCE |
| 000000079566 | Other | IN | ANTHEM |
| 01225376 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 036086811 (Illinois) | 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 |