Memorial Physician Services | |
8460 Saint Lukes Dr Beardstown IL 62618-8385 | |
(217) 544-0306 | |
(217) 323-1739 |
Full Name | Memorial Physician Services |
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Speciality | Clinic/Center |
Location | 8460 Saint Lukes Dr, Beardstown, Illinois |
Authorized Official Name and Position | Ann Bowling (DIRECTOR) |
Authorized Official Contact | 2175882626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memorial Physician Services 8460 Saint Lukes Dr Beardstown IL 62618-8385 Ph: (217) 544-0306 | Memorial Physician Services 8460 Saint Lukes Dr Beardstown IL 62618-8385 Ph: (217) 544-0306 |
NPI Number | 1245822170 |
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Provider Enumeration Date | 02/11/2021 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 9032005681 |
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Medicare Enrollment ID | O20210311002373 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245822170 | NPI | - | NPPES |
148905 | Other | IL | RHC PTAN |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Susan Burge Do Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S State St, Beardstown, IL 62618 Phone: 217-323-9703 Fax: 217-323-9706 | |