Coulterville Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Coulterville, Illinois. The current practice location for Coulterville Medical Clinic is 203 E Grant St, Coulterville, Illinois. For appointments, you can reach them via phone at
(618) 758-2331. The mailing address for Coulterville Medical Clinic is Po Box 297, Sparta, Illinois and phone number is (618) 443-1337.
Coulterville Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1083721567. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(618) 758-2331.
Primary Care Clinic Profile
| Full Name | Coulterville Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 203 E Grant St, Coulterville, Illinois |
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| Authorized Official Name and Position | Lisa Ernsting (CFO) |
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| Authorized Official Contact | 6184432177 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Coulterville Medical Clinic
Po Box 297
Sparta
IL 62286-0297
Ph: (618) 443-1337 | Coulterville Medical Clinic
203 E Grant St
Coulterville
IL 62237-1623
Ph: (618) 758-2331 |
NPI Details:
| NPI Number | 1083721567 |
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| Provider Enumeration Date | 08/23/2006 |
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| Last Update Date | 05/16/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6709870462 |
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| Medicare Enrollment ID | O20070709000284 |
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Medical Identifiers
Medical identifiers for Coulterville Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083721567 | NPI | - | NPPES |
| 143465 | Other | IL | RHC PROVIDER LOCATION NUM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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