St Francis Way Clinic | |
805 Saint Francis Way Litchfield IL 62056-1779 | |
(217) 839-4141 | |
Not Available |
Full Name | St Francis Way Clinic |
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Speciality | Clinic/Center |
Location | 805 Saint Francis Way, Litchfield, Illinois |
Authorized Official Name and Position | Christy Blank (CEO) |
Authorized Official Contact | 2199302283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Francis Way Clinic 805 N Broad St Carlinville IL 62626-1075 Ph: (217) 839-4141 | St Francis Way Clinic 805 Saint Francis Way Litchfield IL 62056-1779 Ph: (217) 839-4141 |
NPI Number | 1720687841 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 04/13/2023 |
Medicare PECOS PAC ID | 1557377850 |
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Medicare Enrollment ID | O20210105000238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720687841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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