- Medicare Primary Care in Johnston City, IL

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Johnston City, Illinois. The current practice location for is 14410 Route 37, Johnston City Community Health Center, Johnston City, Illinois. For appointments, you can reach them via phone at (618) 983-6911. The mailing address for is Po Box 155, Christopher, Illinois and phone number is (618) 724-2401.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053593533. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 983-6911.

Contact Information

14410 Route 37
Johnston City Community Health Center
Johnston City
IL 62951
(618) 983-6911
(618) 724-2571

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location14410 Route 37, Johnston City, Illinois
Authorized Official Name and PositionKim A. Mitroka (PRESIDENT/ C.E.O.)
Authorized Official Contact6187242401
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 155
Christopher
IL 62822-0155

Ph: (618) 724-2401
14410 Route 37
Johnston City Community Health Center
Johnston City
IL 62951

Ph: (618) 983-6911

NPI Details:

NPI Number1053593533
Provider Enumeration Date11/27/2007
Last Update Date01/25/2019

Medicare PECOS Information:

Medicare PECOS PAC ID8224947387
Medicare Enrollment IDO20080207000259

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053593533NPI-NPPES
036049529MedicaidIL
036049529OtherILCOMMUNITY HEALTH CENTER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Reviews and Comments


Clinic/Center in Johnston City, IL

Johnston City Medical Clinic, S. C.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 201 W Broadway Blvd, Johnston City, IL 62951
Phone: 618-983-6911    Fax: 618-983-6913

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.