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321 W Washington St Pittsfield IL 62363-1360 | |
(217) 285-9447 | |
(217) 285-9448 |
Full Name | |
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Speciality | Clinic/Center |
Location | 321 W Washington St, Pittsfield, Illinois |
Authorized Official Name and Position | Connie L. Schroeder (PRESIDENT CEO) |
Authorized Official Contact | 2172852113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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321 W Washington St Pittsfield IL 62363-1360 Ph: (217) 285-9447 | 321 W Washington St Pittsfield IL 62363-1360 Ph: (217) 285-9447 |
NPI Number | 1710920129 |
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Provider Enumeration Date | 06/14/2006 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 2769420959 |
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Medicare Enrollment ID | O20060222000174 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710920129 | NPI | - | NPPES |
143482 | Other | IL | RURAL HEALTH PART A MEDIC |
1710920129 | Other | IL | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |