| Macoupin County Public Health Clinic Site | |
|
1115 Morgan St Carlinville IL 62626-1430 | |
| (217) 854-3692 | |
| Not Available |
| Full Name | Macoupin County Public Health Clinic Site |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 Morgan St, Carlinville, Illinois |
| Authorized Official Name and Position | Christy Blank (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2179302283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macoupin County Public Health Clinic Site 805 N Broad St Carlinville IL 62626-1075 Ph: (217) 854-3223 | Macoupin County Public Health Clinic Site 1115 Morgan St Carlinville IL 62626-1430 Ph: (217) 854-3692 |
| NPI Number | 1861800526 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 1557377850 |
|---|---|
| Medicare Enrollment ID | O20141112000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861800526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 371001351006 (Illinois) | Primary |
Macoupin Physician Services, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20733 N Broad St, Carlinville, IL 62626 Phone: 217-854-3141 | |
Lydia S Q Villafuerte Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-6262 Fax: 217-854-6264 | |
Macoupin County Public Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-3223 Fax: 217-854-3225 | |
Carlinville Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20613 N Broad St, Carlinville, IL 62626 Phone: 217-854-5099 | |
Carlinville Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 N Broad St, Carlinville, IL 62626 Phone: 217-854-9411 Fax: 217-854-2858 | |
Carlinville Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 121-785-4431 | |
Carlinville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 217-854-4319 Fax: 217-854-2765 |