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100 W 15th St Beardstown IL 62618-1774 | |
(217) 323-2245 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 100 W 15th St, Beardstown, Illinois |
Authorized Official Name and Position | Tamra Sue Gadberry (CFO) |
Authorized Official Contact | 2173225296 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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238 S Congress St Rushville IL 62681-1465 Ph: (217) 322-4321 | 100 W 15th St Beardstown IL 62618-1774 Ph: (217) 323-2245 |
NPI Number | 1316117765 |
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Provider Enumeration Date | 02/29/2008 |
Last Update Date | 05/21/2019 |
Identifier | Type | State | Issuer |
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1316117765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Memorial Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8460 Saint Lukes Dr, Beardstown, IL 62618 Phone: 217-544-0306 Fax: 217-323-1739 | |
Susan Burge Do Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S State St, Beardstown, IL 62618 Phone: 217-323-9703 Fax: 217-323-9706 | |