Eagle View Community Health System | |
230 S Main St Monmouth IL 61462-2160 | |
(309) 867-2202 | |
Not Available |
Full Name | Eagle View Community Health System |
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Speciality | Clinic/Center |
Location | 230 S Main St, Monmouth, Illinois |
Authorized Official Name and Position | Shannon Courson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3098672202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eagle View Community Health System Po Box 198 Oquawka IL 61469-0198 Ph: (309) 867-2202 | Eagle View Community Health System 230 S Main St Monmouth IL 61462-2160 Ph: (309) 867-2202 |
NPI Number | 1144987975 |
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Provider Enumeration Date | 11/29/2021 |
Last Update Date | 07/21/2023 |
Medicare PECOS PAC ID | 3577596030 |
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Medicare Enrollment ID | O20221214000058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144987975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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