| Manito Medical Associates | |
|
1301 S East Ave Manito IL 61546 | |
| (309) 968-5311 | |
| Not Available |
| Full Name | Manito Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 S East Ave, Manito, Illinois |
| Authorized Official Name and Position | Mary Layton (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Contact | 3095436600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manito Medical Associates Po Box 530 Havana IL 62644-0530 Ph: (309) 543-6600 | Manito Medical Associates 1301 S East Ave Manito IL 61546 Ph: (309) 968-5311 |
| NPI Number | 1780128512 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/14/2016 |
| Medicare PECOS PAC ID | 2466360607 |
|---|---|
| Medicare Enrollment ID | O20170320001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780128512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Manito Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 S East Ave, Manito, IL 61546 Phone: 309-968-5311 |