| Cowden Medical Clinic Llc | |
|
209 E Elm Street Cowden IL 62422 | |
| (217) 783-6565 | |
| (217) 783-6577 |
| Full Name | Cowden Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 E Elm Street, Cowden, Illinois |
| Authorized Official Name and Position | Cindy Lea Rich (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2177836565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowden Medical Clinic Llc 209 E Elm Street Po Box 154 Cowden IL 62422 Ph: (217) 783-6565 | Cowden Medical Clinic Llc 209 E Elm Street Cowden IL 62422 Ph: (217) 783-6565 |
| NPI Number | 1356410781 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 01/20/2022 |
| Medicare PECOS PAC ID | 0749388635 |
|---|---|
| Medicare Enrollment ID | O20070607000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356410781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 209-003495 (Illinois) | Primary |
| Provider Name | Cindy L Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639248552 PECOS PAC ID: 8123038932 Enrollment ID: I20060424000650 |
| Provider Name | Kelcie T West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720678444 PECOS PAC ID: 5193131696 Enrollment ID: I20210820002347 |
Cowden Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 E Elm St, Cowden, IL 62422 Phone: 217-783-6565 Fax: 217-783-6577 |