| Family Healthcare Clinic | |
|
201 Bailey Lane Benton IL 62812-0000 | |
| (618) 439-3161 | |
| (618) 439-4049 |
| Full Name | Family Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Bailey Lane, Benton, Illinois |
| Authorized Official Name and Position | Rikki Bonthron (CFO) |
| Authorized Official Contact | 6184393161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Clinic 201 Bailey Lane Benton IL 62812-0000 Ph: (618) 439-3161 | Family Healthcare Clinic 201 Bailey Lane Benton IL 62812-0000 Ph: (618) 439-3161 |
| NPI Number | 1033140488 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 4082516042 |
|---|---|
| Medicare Enrollment ID | O20050531000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033140488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Crossroads Family Medicine Of Benton #2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 | |
Franklin Rural Health Clinic I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln, Benton, IL 62812 Phone: 618-439-3706 Fax: 618-435-2023 | |
Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
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