| Lincoln Rural Health | |
|
100 Stahlhut Dr Lincoln IL 62656-5059 | |
| (217) 735-9555 | |
| Not Available |
| Full Name | Lincoln Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Stahlhut Dr, Lincoln, Illinois |
| Authorized Official Name and Position | Alan Nerone (SENIOR VICE PRESIDENT & CEO) |
| Authorized Official Contact | 2175287541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Rural Health 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 | Lincoln Rural Health 100 Stahlhut Dr Lincoln IL 62656-5059 Ph: (217) 735-9555 |
| NPI Number | 1518143452 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 08/30/2017 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20050429000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518143452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Memorial Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 N College St, Lincoln, IL 62656 Phone: 217-732-9681 Fax: 217-735-6527 |