| Hshs Holy Family Health Center | |
|
201 Healthcare Dr Greenville IL 62246-1155 | |
| (618) 664-1380 | |
| (618) 664-4239 |
| Full Name | Hshs Holy Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Healthcare Dr, Greenville, Illinois |
| Authorized Official Name and Position | Mark Duane Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hshs Holy Family Health Center 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 664-1380 | Hshs Holy Family Health Center 201 Healthcare Dr Greenville IL 62246-1155 Ph: (618) 664-1380 |
| NPI Number | 1295787828 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 7517879349 |
|---|---|
| Medicare Enrollment ID | O20111110000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295787828 | NPI | - | NPPES |
| 148519 | Other | IL | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0005355 (Illinois) | Primary |
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