| Medical Income Management Corp | |
|
101 W Jefferson St Sullivan IL 61951-1914 | |
| (217) 728-9999 | |
| Not Available |
| Full Name | Medical Income Management Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 101 W Jefferson St, Sullivan, Illinois |
| Authorized Official Name and Position | Kurt M Dearnbarger (OWNER) |
| Authorized Official Contact | 2177289999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Income Management Corp Po Box 1215 Mattoon IL 61938-1215 Ph: () - | Medical Income Management Corp 101 W Jefferson St Sullivan IL 61951-1914 Ph: (217) 728-9999 |
| NPI Number | 1912924630 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912924630 | NPI | - | NPPES |
| P00329285 | Other | RETIRED RAILROAD | |
| P00151494 | Other | IL | RAILROAD MEDICARE PALMETTO GBA |
| 036092940 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Decatur Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 W Jackson St, Sullivan, IL 61951 Phone: 217-728-2042 Fax: 217-728-2485 | |
Dearnbarger Family Practice S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Jefferson St, Sullivan, IL 61951 Phone: 217-621-6595 | |
Faisal Bukhari Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 W. Adams, Sullivan, IL 61951 Phone: 217-728-7353 Fax: 217-728-2580 | |
Rural Health Clinic Of Moultrie County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 W Adams, Sullivan, IL 61951 Phone: 217-728-7353 Fax: 217-728-2580 |