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705 S Dixie Hwy Hoopeston IL 60942-1904 | |
| (217) 283-5530 | |
| (217) 283-6437 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 S Dixie Hwy, Hoopeston, Illinois |
| Authorized Official Name and Position | Matthew Ertel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2177842601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
705 S Dixie Hwy Hoopeston IL 60942-1904 Ph: (217) 283-5530 | 705 S Dixie Hwy Hoopeston IL 60942-1904 Ph: (217) 283-5530 |
| NPI Number | 1881676005 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 5092703124 |
|---|---|
| Medicare Enrollment ID | O20110526000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881676005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Health Partnership Of Il Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 S 8th Ave, Hoopeston, IL 60942 Phone: 217-283-5523 Fax: 217-283-7313 |