| Havana Medical Associates | |
|
615 N Promenade St Havana IL 62644-1243 | |
| (309) 543-6600 | |
| (309) 543-2089 |
| Full Name | Havana Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 N Promenade St, Havana, Illinois |
| Authorized Official Name and Position | Mary L Layton (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Contact | 3095438542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Havana Medical Associates 615 N Promenade St P O Box 530 Havana IL 62644-1015 Ph: (309) 543-6600 | Havana Medical Associates 615 N Promenade St Havana IL 62644-1243 Ph: (309) 543-6600 |
| NPI Number | 1063478782 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 02/02/2012 |
| Medicare PECOS PAC ID | 2466360607 |
|---|---|
| Medicare Enrollment ID | O20021213000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063478782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
Mason County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 East Laurel Avenue, Havana, IL 62644 Phone: 309-543-2201 Fax: 309-543-2063 |