Clinton County Rural Health Trenton | |
409 E Broadway Trenton IL 62293-1663 | |
(618) 224-7366 | |
(618) 224-9781 |
Full Name | Clinton County Rural Health Trenton |
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Speciality | Clinic/center - Rural Health |
Location | 409 E Broadway, Trenton, Illinois |
Authorized Official Name and Position | Mark Duane Evard (VP OF REVENUE CYCLE) |
Authorized Official Contact | 2174929651 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinton County Rural Health Trenton 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 224-7366 | Clinton County Rural Health Trenton 409 E Broadway Trenton IL 62293-1663 Ph: (618) 224-7366 |
NPI Number | 1366830523 |
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Provider Enumeration Date | 12/22/2014 |
Last Update Date | 10/31/2024 |
Identifier | Type | State | Issuer |
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1366830523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |