| Graham Medical Group-canton | |
|
180 S Main St Canton IL 61520-2608 | |
| (309) 647-0201 | |
| (309) 649-5302 |
| Full Name | Graham Medical Group-canton |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 S Main St, Canton, Illinois |
| Authorized Official Name and Position | Julie Reeder (VP OF FINANCE/CFO) |
| Authorized Official Contact | 3096475240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Medical Group-canton 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 | Graham Medical Group-canton 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 |
| NPI Number | 1205072626 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 2769375021 |
|---|---|
| Medicare Enrollment ID | O20080811000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205072626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Graham Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N 5th Ave, Canton, IL 61520 Phone: 309-647-0201 | |
Fulton County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 East Oak Street, Canton, IL 61520 Phone: 309-647-1134 Fax: 309-647-9545 | |
Spoon River Family Practice Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 E Side Sq, Suite 102, Canton, IL 61520 Phone: 309-647-9980 Fax: 309-647-7792 | |
Coleman Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-0201 |