Family Health Care Of Watseka | |
806 E Walnut St Ste A Watseka IL 60970-1584 | |
(815) 432-1078 | |
(815) 432-1079 |
Full Name | Family Health Care Of Watseka |
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Speciality | Clinic/Center |
Location | 806 E Walnut St Ste A, Watseka, 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 |
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Family Health Care Of Watseka 806 E Walnut St Ste A Watseka IL 60970-1584 Ph: (815) 432-1078 | Family Health Care Of Watseka 806 E Walnut St Ste A Watseka IL 60970-1584 Ph: (815) 432-1078 |
NPI Number | 1043720691 |
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Provider Enumeration Date | 10/10/2017 |
Last Update Date | 09/10/2024 |
Medicare PECOS PAC ID | 5092703124 |
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Medicare Enrollment ID | O20190808001817 |
Identifier | Type | State | Issuer |
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1043720691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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