| Goreville Medical Center | |
|
400 S Broadway Goreville IL 62939-2444 | |
| (618) 995-1002 | |
| (618) 995-1133 |
| Full Name | Goreville Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 S Broadway, Goreville, Illinois |
| Authorized Official Name and Position | Cynthia K Flamm (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6188334471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goreville Medical Center 513 N Main St Anna IL 62906-1668 Ph: (618) 833-4471 | Goreville Medical Center 400 S Broadway Goreville IL 62939-2444 Ph: (618) 995-1002 |
| NPI Number | 1962763045 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 6800705427 |
|---|---|
| Medicare Enrollment ID | O20120814000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962763045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Goreville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Broadway, Goreville, IL 62939 Phone: 618-995-2396 Fax: 618-995-2947 | |
Rural Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Broadway, Goreville, IL 62939 Phone: 618-995-1002 Fax: 618-995-1133 |