Memorial Medical Augusta Clinic | |
204 Center St Augusta IL 62311-1228 | |
(217) 392-2108 | |
(217) 392-2110 |
Full Name | Memorial Medical Augusta Clinic |
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Speciality | Nurse Practitioner - Family |
Location | 204 Center St, Augusta, Illinois |
Authorized Official Name and Position | Jessie Fifer (SPECIAL PROJECTS COORDINATOR) |
Authorized Official Contact | 2173576594 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Memorial Medical Augusta Clinic Po Box 160 Carthage IL 62321-0160 Ph: (217) 357-6512 | Memorial Medical Augusta Clinic 204 Center St Augusta IL 62311-1228 Ph: (217) 392-2108 |
NPI Number | 1275979031 |
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Provider Enumeration Date | 05/20/2013 |
Last Update Date | 05/20/2013 |
Identifier | Type | State | Issuer |
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1275979031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |