Healthcare Network Associates Of Sangamon, Pc | |
701 N 1st St Springfield IL 62781-0001 | |
(217) 757-7491 | |
(217) 757-2021 |
Full Name | Healthcare Network Associates Of Sangamon, Pc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 701 N 1st St, Springfield, Illinois |
Authorized Official Name and Position | Robert T Clarke (PRESIDENT AND CEO) |
Authorized Official Contact | 2177883340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healthcare Network Associates Of Sangamon, Pc Po Box 3428 Springfield IL 62708-3428 Ph: (217) 757-7491 | Healthcare Network Associates Of Sangamon, Pc 701 N 1st St Springfield IL 62781-0001 Ph: (217) 757-7491 |
NPI Number | 1558334763 |
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Provider Enumeration Date | 02/08/2006 |
Last Update Date | 04/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558334763 | NPI | - | NPPES |
CG1144 | Other | IL | RAILROAD MEDICARE GROUP |
CE7885 | Other | IL | RAILROAD MEDICARE GROUP |
CE9939 | Other | IL | RAILROAD GROUP NUMBER |
CE8722 | Other | IL | RAILROAD MEDICARE GROUP |
797350 | Other | IL | MEDICARE N.P. GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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