| Family Practice Assoc | |
|
100 S Main St West Salem IL 62476-1202 | |
| (618) 456-3727 | |
| (618) 456-3774 |
| Full Name | Family Practice Assoc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 S Main St, West Salem, Illinois |
| Authorized Official Name and Position | Harry Timothy Garrett (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 6184563727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Assoc 100 S Main St Po Box 306 West Salem IL 62476-1202 Ph: (618) 456-3727 | Family Practice Assoc 100 S Main St West Salem IL 62476-1202 Ph: (618) 456-3727 |
| NPI Number | 1356331078 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 03/24/2008 |
| Medicare PECOS PAC ID | 7517963770 |
|---|---|
| Medicare Enrollment ID | O20061011000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356331078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Harry T Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871589515 PECOS PAC ID: 8628074887 Enrollment ID: I20061011000125 |
Richland Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 S Main St, West Salem, IL 62476 Phone: 618-456-3727 Fax: 618-456-3774 | |
Rmh Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Main St, West Salem, IL 62476 Phone: 618-456-3727 Fax: 618-456-3774 |