| Community Medical Clinic | |
|
135 W Broadway St Astoria IL 61501 | |
| (309) 329-2926 | |
| (309) 329-2656 |
| Full Name | Community Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 W Broadway St, Astoria, Illinois |
| Authorized Official Name and Position | Tamra S Gadberry (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2173224321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Clinic 135 W Broadway St Astoria IL 61501-9634 Ph: (309) 329-2926 | Community Medical Clinic 135 W Broadway St Astoria IL 61501 Ph: (309) 329-2926 |
| NPI Number | 1871546465 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/09/2020 |
| Medicare PECOS PAC ID | 9638076474 |
|---|---|
| Medicare Enrollment ID | O20071120000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871546465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
Community Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 W Broadway, Astoria, IL 61501 Phone: 309-329-2926 Fax: 309-329-2656 |