| Immanuel Health Center | |
|
502 S Morris Ave Suite A Bloomington IL 61701-4884 | |
| (309) 824-7485 | |
| Not Available |
| Full Name | Immanuel Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 502 S Morris Ave, Bloomington, Illinois |
| Authorized Official Name and Position | Trina Scott (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3098247485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immanuel Health Center Po Box 3281 Bloomington IL 61702-3281 Ph: () - | Immanuel Health Center 502 S Morris Ave Suite A Bloomington IL 61701-4884 Ph: (309) 824-7485 |
| NPI Number | 1669752960 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669752960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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