| Medical Servics Unlimited | |
|
1404 N 5th St Vandalia IL 62471-1039 | |
| (618) 283-2000 | |
| (618) 283-2002 |
| Full Name | Medical Servics Unlimited |
|---|---|
| Speciality | Clinic/Center |
| Location | 1404 N 5th St, Vandalia, Illinois |
| Authorized Official Name and Position | Penny Attaway (DNP) |
| Authorized Official Contact | 6189711440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Servics Unlimited 1404 N 5th St Vandalia IL 62471-1039 Ph: (618) 283-2000 | Medical Servics Unlimited 1404 N 5th St Vandalia IL 62471-1039 Ph: (618) 283-2000 |
| NPI Number | 1528185170 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 12/20/2016 |
| Medicare PECOS PAC ID | 9931016961 |
|---|---|
| Medicare Enrollment ID | O20160203000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528185170 | NPI | - | NPPES |
| L040233 | Other | IL | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 209001693 (Illinois) | Primary |
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