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716 S Commercial St Harrisburg IL 62946-2346 | |
(618) 294-8241 | |
(618) 297-8212 |
Full Name | |
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Speciality | Clinic/Center |
Location | 716 S Commercial St, Harrisburg, Illinois |
Authorized Official Name and Position | Clifford E Morris (DIRECTOR OF BOARD) |
Authorized Official Contact | 6182733361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1201 Pine St Eldorado IL 62930-1634 Ph: (618) 273-3361 | 716 S Commercial St Harrisburg IL 62946-2346 Ph: (618) 294-8241 |
NPI Number | 1184202392 |
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Provider Enumeration Date | 03/30/2021 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 1355389453 |
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Medicare Enrollment ID | O20210608001899 |
Identifier | Type | State | Issuer |
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1184202392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Healthcare Clinic & Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Commercial St, Suite 4, Harrisburg, IL 62946 Phone: 618-253-8863 Fax: 618-253-8864 | |