Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 517 N Main St, Anna, Illinois |
Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
Authorized Official Contact | 6152213641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (152) 221-1400 | 517 N Main St Anna IL 62906-1668 Ph: (618) 833-2295 |
NPI Number | 1912975533 |
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Provider Enumeration Date | 03/09/2006 |
Last Update Date | 07/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912975533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | 0002824 (Illinois) | Primary |
Hunter Reach Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Peach Ridge Road, Anna, IL 62906 Phone: 618-614-1400 Fax: 618-614-1401 | |