Crawford Hospital District Dba Cmh Rural Health Oblong | |
1366 East 1050th Ave Oblong IL 62449-1426 | |
(618) 592-3119 | |
(618) 546-2648 |
Full Name | Crawford Hospital District Dba Cmh Rural Health Oblong |
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Speciality | Clinic/Center |
Location | 1366 East 1050th Ave, Oblong, Illinois |
Authorized Official Name and Position | Chris Bautista (PRACTICE MANAGEMENT OFFICER) |
Authorized Official Contact | 6185462460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crawford Hospital District Dba Cmh Rural Health Oblong 1000 N Allen St Robinson IL 62454-1114 Ph: (618) 592-3119 | Crawford Hospital District Dba Cmh Rural Health Oblong 1366 East 1050th Ave Oblong IL 62449-1426 Ph: (618) 592-3119 |
NPI Number | 1790769073 |
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Provider Enumeration Date | 12/01/2005 |
Last Update Date | 06/24/2014 |
Medicare PECOS PAC ID | 7719898071 |
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Medicare Enrollment ID | O20060906000380 |
Identifier | Type | State | Issuer |
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1790769073 | NPI | - | NPPES |
143488 | Other | IL | MEDICARE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |