| Clinton County Rural Health | |
|
9401 Holy Cross Lane Suite 112 Breese IL 62230 | |
| (618) 526-7271 | |
| (618) 526-7313 |
| Full Name | Clinton County Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9401 Holy Cross Lane, Breese, Illinois |
| Authorized Official Name and Position | Mark Duane Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton County Rural Health 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 526-7271 | Clinton County Rural Health 9401 Holy Cross Lane Suite 112 Breese IL 62230 Ph: (618) 526-7271 |
| NPI Number | 1013002658 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9638064892 |
|---|---|
| Medicare Enrollment ID | O20090521000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013002658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Competitive Edge Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14160 Jamestown Rd, Breese, IL 62230 Phone: 618-526-2603 Fax: 618-526-1435 | |
Cep America- Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1st St, Breese, IL 62230 Phone: 618-526-4521 | |
Hshs St. Joseph's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511 Fax: 618-222-4703 | |
Douglas A Kruse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9495 Holy Cross Ln, Suite 103, Breese, IL 62230 Phone: 618-526-2222 Fax: 618-526-7680 | |
Geriatrics First, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9409 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-7399 Fax: 618-526-7399 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511 |