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200 Richmond Ave E Mattoon IL 61938-4652 | |
(217) 235-5471 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Adolescent Medicine |
Location | 200 Richmond Ave E, Mattoon, Illinois |
Authorized Official Name and Position | Dennis Pluard (CFO) |
Authorized Official Contact | 2172582513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 Health Center Dr Mattoon IL 61938-9253 Ph: () - | 200 Richmond Ave E Mattoon IL 61938-4652 Ph: (217) 235-5471 |
NPI Number | 1952429094 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1952429094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
Bella Family Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10555 E County Road 800n, Mattoon, IL 61938 Phone: 217-235-4227 Fax: 217-235-4274 | |