<unavail> in Granite City, IL

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Granite City, Illinois. The current practice location for is 2100 Madison Ave, Granite City, Illinois. For appointments, you can reach them via phone at (618) 452-3301. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1801822010. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (618) 452-3301.

Contact Information


	2100 Madison Ave Granite City IL 62040-4701
	(618) 452-3301
	(618) 452-3312

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	2100 Madison Ave, Granite City, Illinois
Authorized Official Name and Position	Larry Mcculley (CHIEF OPERATING OFFICER)
Authorized Official Contact	6183320783
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303	2100 Madison Ave Granite City IL 62040-4701 Ph: (618) 452-3301

NPI Details:

NPI Number	1801822010
Provider Enumeration Date	06/23/2006
Last Update Date	04/20/2008

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801822010	NPI	-	NPPES
732740	Other	IL	WPS MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Granite City, IL

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-798-8652 Fax: 618-798-8116
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3908 Maryville Rd Ste 2, Granite City, IL 62040 Phone: 618-709-4125
Granite City Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 27, Granite City, IL 62040 Phone: 618-451-7600 Fax: 618-451-7685
Old Six Mile Inpatient Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-512-1919 Fax: 618-512-1920
American Healthcare Systems Illinois Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 818-666-0602
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1832 Cleveland Blvd, Granite City, IL 62040 Phone: 618-397-3303 Fax: 618-397-7802

- Primary Care in Granite City, IL