| Community Hospital Of Staunton Specialty Clinic | |
|
402 N Wood St Staunton IL 62088-1439 | |
| (618) 635-4231 | |
| (618) 635-4216 |
| Full Name | Community Hospital Of Staunton Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 402 N Wood St, Staunton, Illinois |
| Authorized Official Name and Position | Larry Spour (CEO) |
| Authorized Official Contact | 6185421089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hospital Of Staunton Specialty Clinic 400 N Caldwell St Staunton IL 62088-1173 Ph: (618) 635-2200 | Community Hospital Of Staunton Specialty Clinic 402 N Wood St Staunton IL 62088-1439 Ph: (618) 635-4231 |
| NPI Number | 1063260545 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063260545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Staunton Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 N Edwardsville St, Staunton, IL 62088 Phone: 618-635-3800 Fax: 618-635-3952 |