| Dongola Medical Clinic | |
|
318 N Us Highway 51 Dongola IL 62926 | |
| (618) 827-3545 | |
| (618) 827-4891 |
| Full Name | Dongola Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 318 N Us Highway 51, Dongola, Illinois |
| Authorized Official Name and Position | Cynthia K Flamm (C. E. O.) |
| Authorized Official Contact | 6188334471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dongola Medical Clinic 513 N Main St Anna IL 62906-1668 Ph: (618) 833-4471 | Dongola Medical Clinic 318 N Us Highway 51 Dongola IL 62926 Ph: (618) 827-3545 |
| NPI Number | 1366506628 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 6800705427 |
|---|---|
| Medicare Enrollment ID | O20080212000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366506628 | NPI | - | NPPES |
| 9115001 | Other | IL | BLUE CROSS BLUE SHIELD |
| 111760 | Other | IL | HEALTHLINK |
| 055761 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dongola Sch Unit Dist 66 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 High St., Dongola, IL 62926 Phone: 618-827-3841 Fax: 618-827-4641 | |
Dongola School Unit Dist 66 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 High Street, Dongola, IL 62926 Phone: 618-827-3841 Fax: 618-827-4641 | |
Dongola Unit School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 High Street, Dongola, IL 62926 Phone: 618-827-3841 Fax: 618-827-4641 |