| Gallatin Cty School Health Ctr Nfp | |
|
5150 Highway 13 Junction IL 62954-2118 | |
| (618) 272-7132 | |
| (618) 272-7064 |
| Full Name | Gallatin Cty School Health Ctr Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 5150 Highway 13, Junction, Illinois |
| Authorized Official Name and Position | Angie Hampton (CEO) |
| Authorized Official Contact | 6182733326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallatin Cty School Health Ctr Nfp 5150 Highway 13 Junction IL 62954-2118 Ph: (618) 272-7132 | Gallatin Cty School Health Ctr Nfp 5150 Highway 13 Junction IL 62954-2118 Ph: (618) 272-7132 |
| NPI Number | 1376671800 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 07/01/2019 |
| Medicare PECOS PAC ID | 1658382411 |
|---|---|
| Medicare Enrollment ID | O20060509000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376671800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |