| Jch Medical Group-roodhouse | |
|
414 S State St Roodhouse IL 62082-1544 | |
| (217) 589-4383 | |
| (217) 589-4409 |
| Full Name | Jch Medical Group-roodhouse |
|---|---|
| Speciality | Clinic/Center |
| Location | 414 S State St, Roodhouse, Illinois |
| Authorized Official Name and Position | Beth A King (CFO) |
| Authorized Official Contact | 6184988350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jch Medical Group-roodhouse 390 Maple Summit Rd Jerseyville IL 62052-2000 Ph: (618) 498-7518 | Jch Medical Group-roodhouse 414 S State St Roodhouse IL 62082-1544 Ph: (217) 589-4383 |
| NPI Number | 1770988735 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 4587650445 |
|---|---|
| Medicare Enrollment ID | O20141210001995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770988735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0001156 (Illinois) | Primary |
Rural Health Center Of Roodhouse Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 132 W Lorton St, Roodhouse, IL 62082 Phone: 217-589-4629 Fax: 217-589-4070 |