D/b/a Family Health Clinic Of Farmer City | |
1230 George Rock Dr Farmer City IL 61842-9488 | |
(309) 928-9192 | |
(309) 928-5316 |
Full Name | D/b/a Family Health Clinic Of Farmer City |
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Speciality | Clinic/Center |
Location | 1230 George Rock Dr, Farmer City, Illinois |
Authorized Official Name and Position | Matthew Ertel (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2177842601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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D/b/a Family Health Clinic Of Farmer City 1230 George Rock Dr Farmer City IL 61842-9488 Ph: (309) 928-9192 | D/b/a Family Health Clinic Of Farmer City 1230 George Rock Dr Farmer City IL 61842-9488 Ph: (309) 928-9192 |
NPI Number | 1790913903 |
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Provider Enumeration Date | 06/25/2009 |
Last Update Date | 02/04/2022 |
Medicare PECOS PAC ID | 5092703124 |
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Medicare Enrollment ID | O20101111000819 |
Identifier | Type | State | Issuer |
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1790913903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |