| |
1209 W Robinson St Wayne City IL 62895-9672 | |
(618) 895-2050 | |
(618) 895-2056 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1209 W Robinson St, Wayne City, 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 | 1209 W Robinson St Wayne City IL 62895-9672 Ph: (618) 895-2050 |
NPI Number | 1932450772 |
---|---|
Provider Enumeration Date | 09/19/2012 |
Last Update Date | 07/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932450772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 0003947 (Illinois) | Primary |