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302 North Mill Street Greenup IL 62428 | |
(618) 397-3303 | |
(618) 397-7802 |
Full Name | |
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Speciality | Clinic/Center |
Location | 302 North Mill Street, Greenup, Illinois |
Authorized Official Name and Position | Larry Mcculley (COO) |
Authorized Official Contact | 6183320694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | 302 North Mill Street Greenup IL 62428 Ph: (618) 397-3303 |
NPI Number | 1346423803 |
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Provider Enumeration Date | 12/07/2007 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 1456256874 |
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Medicare Enrollment ID | O20071227000556 |
Identifier | Type | State | Issuer |
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1346423803 | NPI | - | NPPES |
Rural Health Clinic Greenup Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N Mill, Greenup, IL 62428 Phone: 217-923-3311 |