| Menard Medical Center | |
|
1 Centre Dr Petersburg IL 62675-9467 | |
| (217) 632-7761 | |
| (217) 632-0312 |
| Full Name | Menard Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 Centre Dr, Petersburg, Illinois |
| Authorized Official Name and Position | Robert T Clark (PRESIDENT AND CEO) |
| Authorized Official Contact | 2177883340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menard Medical Center Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Menard Medical Center 1 Centre Dr Petersburg IL 62675-9467 Ph: (217) 632-7761 |
| NPI Number | 1235291220 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235291220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Menard Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Menard Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Memorial Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Menard Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 |