Full Name | |
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Speciality | Clinic/Center |
Location | 3 Do It Dr, Altamont, Illinois |
Authorized Official Name and Position | Kimberly Hodgkinson (CFO) |
Authorized Official Contact | 2174926594 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3 Do It Dr Altamont IL 62411-1135 Ph: () - | 3 Do It Dr Altamont IL 62411-1135 Ph: (618) 483-6131 |
NPI Number | 1679108351 |
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Provider Enumeration Date | 03/03/2020 |
Last Update Date | 04/27/2023 |
Medicare PECOS PAC ID | 5092857821 |
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Medicare Enrollment ID | O20200522000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679108351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |