Graham Medical Group Farmington | |
601 E Fort St Farmington IL 61531-1338 | |
(309) 245-2406 | |
(309) 245-2428 |
Full Name | Graham Medical Group Farmington |
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Speciality | Clinic/Center |
Location | 601 E Fort St, Farmington, 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 |
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Graham Medical Group Farmington 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 | Graham Medical Group Farmington 601 E Fort St Farmington IL 61531-1338 Ph: (309) 245-2406 |
NPI Number | 1841436268 |
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Provider Enumeration Date | 01/07/2009 |
Last Update Date | 10/23/2018 |
Medicare PECOS PAC ID | 2769375021 |
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Medicare Enrollment ID | O20080812000150 |
Identifier | Type | State | Issuer |
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1841436268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |