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905 W Washington St Suite A Benton IL 62812-1649 | |
(618) 435-2229 | |
(618) 435-2232 |
Full Name | |
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Speciality | Internal Medicine |
Location | 905 W Washington St, Benton, Illinois |
Authorized Official Name and Position | James Wright (SR DIRECTOR) |
Authorized Official Contact | 6154657587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 689022 Franklin TN 37068-9022 Ph: (888) 422-1522 | 905 W Washington St Suite A Benton IL 62812-1649 Ph: (618) 435-2229 |
NPI Number | 1902143910 |
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Provider Enumeration Date | 01/10/2013 |
Last Update Date | 03/12/2015 |
Identifier | Type | State | Issuer |
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1902143910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 E Church St, Benton, IL 62812 Phone: 618-435-9888 Fax: 618-435-9889 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316 | |