| East Adams County Rural Health Clinic | |
|
102 Praire Mills Road Golden IL 62339 | |
| (217) 696-4446 | |
| (217) 696-4388 |
| Full Name | East Adams County Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Praire Mills Road, Golden, Illinois |
| Authorized Official Name and Position | Timothy A Moore (CAO) |
| Authorized Official Contact | 2172231200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Adams County Rural Health Clinic 102 Praire Mills Road Golden IL 62339 Ph: (217) 696-4446 | East Adams County Rural Health Clinic 102 Praire Mills Road Golden IL 62339 Ph: (217) 696-4446 |
| NPI Number | 1245392349 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 3072422534 |
|---|---|
| Medicare Enrollment ID | O20110315000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245392349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Joanna Lynn Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629662861 PECOS PAC ID: 1658780044 Enrollment ID: I20210517000083 |
| Provider Name | Deborah L Garrelts-daoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215025309 PECOS PAC ID: 0749313054 Enrollment ID: I20220512001642 |