Mason County Health Department | |
1002 East Laurel Avenue Havana IL 62644 | |
(309) 543-2201 | |
(309) 543-2063 |
Full Name | Mason County Health Department |
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Speciality | Clinic/center |
Location | 1002 East Laurel Avenue, Havana, Illinois |
Authorized Official Name and Position | Curt J Jibben (ADMINISTRATOR) |
Authorized Official Contact | 3095432201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mason County Health Department 1002 East Laurel Avenue Havana IL 62644 Ph: (309) 543-2201 | Mason County Health Department 1002 East Laurel Avenue Havana IL 62644 Ph: (309) 543-2201 |
NPI Number | 1982771218 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982771218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Havana Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 |