Full Name | |
---|---|
Speciality | Family Medicine |
Location | 103 W 6th St, Ramsey, Illinois |
Authorized Official Name and Position | Lisa Bloemer (PRACTICE MANAGER) |
Authorized Official Contact | 2175626246 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
103 W. Sixth Ramsey IL 62080 Ph: (618) 423-2412 | 103 W 6th St Ramsey IL 62080-0016 Ph: (618) 423-2412 |
NPI Number | 1922469535 |
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Provider Enumeration Date | 03/09/2016 |
Last Update Date | 03/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922469535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pana Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 S Superior St, Ramsey, IL 62080 Phone: 618-423-2412 |