Greenville Family Medicine, Llc | |
1000 Red Ball Trl Greenville IL 62246-2781 | |
(618) 664-1240 | |
Not Available |
Full Name | Greenville Family Medicine, Llc |
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Speciality | Clinic/Center |
Location | 1000 Red Ball Trl, Greenville, Illinois |
Authorized Official Name and Position | Kelsey Hopkins (CO-OWNER) |
Authorized Official Contact | 6186641240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greenville Family Medicine, Llc 1000 Red Ball Trl Greenville IL 62246-2781 Ph: (618) 664-1240 | Greenville Family Medicine, Llc 1000 Red Ball Trl Greenville IL 62246-2781 Ph: (618) 664-1240 |
NPI Number | 1396336970 |
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Provider Enumeration Date | 01/27/2021 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 0446665525 |
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Medicare Enrollment ID | O20210304001227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396336970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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