Midwest Medical Center | |
117 N Main St Elizabeth IL 61028-8800 | |
(815) 858-2238 | |
(815) 858-2239 |
Full Name | Midwest Medical Center |
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Speciality | Clinic/Center |
Location | 117 N Main St, Elizabeth, Illinois |
Authorized Official Name and Position | Tracy L Bauer (PRESIDENT/CEO) |
Authorized Official Contact | 8157771340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Medical Center 1 Medical Center Dr Galena IL 61036-8118 Ph: (815) 777-1340 | Midwest Medical Center 117 N Main St Elizabeth IL 61028-8800 Ph: (815) 858-2238 |
NPI Number | 1295286045 |
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Provider Enumeration Date | 10/17/2016 |
Last Update Date | 10/17/2016 |
Medicare PECOS PAC ID | 5698771848 |
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Medicare Enrollment ID | O20160411002078 |
Identifier | Type | State | Issuer |
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1295286045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Midwest Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N Main St, Elizabeth, IL 61028 Phone: 815-858-2238 Fax: 815-858-2239 |