<unavail> in Carrollton, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Carrollton, Illinois. The current practice location for is 727 9th St, Carrollton, Illinois. For appointments, you can reach them via phone at (217) 942-6612. The mailing address for is 727 9th St, Carrollton, Illinois and phone number is (217) 942-6612.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366535304. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (217) 942-6612.

Contact Information


	727 9th St Carrollton IL 62016-1427
	(217) 942-6612
	(217) 942-6613

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	727 9th St, Carrollton, Illinois
Authorized Official Name and Position	Stace Holland (CEO)
Authorized Official Contact	2179426946
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
727 9th St Carrollton IL 62016-1427 Ph: (217) 942-6612	727 9th St Carrollton IL 62016-1427 Ph: (217) 942-6612

NPI Details:

NPI Number	1366535304
Provider Enumeration Date	10/02/2006
Last Update Date	04/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8123085560
Medicare Enrollment ID	O20100729000528

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366535304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Carrollton, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 School St, Carrollton, IL 62016 Phone: 217-942-3600 Fax: 217-942-9349
Jose P Parcon M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 9th St, Carrollton, IL 62016 Phone: 217-942-6984
County Of Greene Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 5th St, Carrollton, IL 62016 Phone: 217-942-6961
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 523 S Main St, Carrollton, IL 62016 Phone: 217-942-3326 Fax: 217-942-9833

- Medicare Primary Care in Carrollton, IL