| Louisville Medical Clinic | |
|
935 Bryant St Louisville IL 62858-1053 | |
| (618) 662-2191 | |
| (618) 662-1482 |
| Full Name | Louisville Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 935 Bryant St, Louisville, Illinois |
| Authorized Official Name and Position | Carrie Miller (CHIEF NURSING OFFICER) |
| Authorized Official Contact | 6186622131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Medical Clinic Po Box 280 Flora IL 62839-0280 Ph: (618) 662-2131 | Louisville Medical Clinic 935 Bryant St Louisville IL 62858-1053 Ph: (618) 662-2191 |
| NPI Number | 1831120401 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 0042101982 |
|---|---|
| Medicare Enrollment ID | O20061004000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831120401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Trinity Health And Wellness, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Bryant St, Louisville, IL 62858 Phone: 618-665-7000 | |
Trinity Health And Wellness, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Bryant St, Louisville, IL 62858 Phone: 314-757-0140 | |
Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 S. Church St., Louisville, IL 62858 Phone: 618-665-4612 Fax: 618-665-4610 |