Eldorado Rural Health Clinic | |
1401 Us Highway 45 N Eldorado IL 62930-3770 | |
(618) 273-2951 | |
(618) 273-2712 |
Full Name | Eldorado Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 1401 Us Highway 45 N, Eldorado, Illinois |
Authorized Official Name and Position | Kim A Mitroka (PRESIDENT CEO) |
Authorized Official Contact | 6187242401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eldorado Rural Health Clinic Po Box 155 Christopher IL 62822-0155 Ph: (618) 724-2401 | Eldorado Rural Health Clinic 1401 Us Highway 45 N Eldorado IL 62930-3770 Ph: (618) 273-2951 |
NPI Number | 1144200825 |
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Provider Enumeration Date | 01/19/2006 |
Last Update Date | 08/15/2023 |
Medicare PECOS PAC ID | 8224947387 |
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Medicare Enrollment ID | O20030625000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144200825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Virginia Leigh Mabrey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306160932 PECOS PAC ID: 2769888759 Enrollment ID: I20210830002831 |
Eldorado Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-7723 Fax: 618-252-4027 | |
Albert G Bledig Md Chartered Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Locust St, Eldorado, IL 62930 Phone: 618-273-5511 Fax: 618-273-3322 | |
Ferrell Hospital Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1306 Maple St, Eldorado, IL 62930 Phone: 618-297-9665 Fax: 618-297-9638 | |
Dr. Patrick E. Peterson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 4th St, Eldorado, IL 62930 Phone: 618-273-2100 Fax: 618-273-2110 | |
Eldorado Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-297-9660 Fax: 618-273-2110 | |
Peterson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 4th St, Eldorado, IL 62930 Phone: 618-273-2100 Fax: 618-273-2110 |