Community Medical Clinic Of Pana | |
101 E 9th St Suite 105 Pana IL 62557 | |
(217) 562-2544 | |
(217) 562-6288 |
Full Name | Community Medical Clinic Of Pana |
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Speciality | Family Medicine |
Location | 101 E 9th St, Pana, Illinois |
Authorized Official Name and Position | Lisa Marie Bloemer (PRACTICE MANAGER) |
Authorized Official Contact | 2175626257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Medical Clinic Of Pana 101 E 9th St Suite 105 Pana IL 62557-1716 Ph: (217) 562-2544 | Community Medical Clinic Of Pana 101 E 9th St Suite 105 Pana IL 62557 Ph: (217) 562-2544 |
NPI Number | 1235225236 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 06/11/2018 |
Medicare PECOS PAC ID | 3274437348 |
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Medicare Enrollment ID | O20080114000652 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235225236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Pana Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Locust St, Pana, IL 62557 Phone: 217-562-2143 Fax: 217-562-2251 | |
Pana Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Suite 102, Pana, IL 62557 Phone: 217-562-2171 | |
Community Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6246 Fax: 217-562-6228 | |
Pana Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 S Locust St, Pana, IL 62557 Phone: 217-562-2143 Fax: 217-562-2251 | |
Pana Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Locust St, Pana, IL 62557 Phone: 217-562-2143 Fax: 217-562-2251 |