| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 9538 Caring Way, Columbia, Illinois |
| Authorized Official Name and Position | Mark D Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 281-9005 | 9538 Caring Way Columbia IL 62236 Ph: (618) 281-9005 |
| NPI Number | 1487759916 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487759916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Medicine In Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Wedgewood Dr, Columbia, IL 62236 Phone: 618-281-2233 Fax: 618-281-2244 | |
Mercy Clinic Illinois, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1019 Valmeyer Rd, Columbia, IL 62236 Phone: 314-543-5244 Fax: 314-543-5248 | |
Msa Alliance, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Admiral Weinel Blvd, Columbia, IL 62236 Phone: 618-281-7373 Fax: 618-281-6463 | |
Pc Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Admiral Weinel Blvd, Columbia, IL 62236 Phone: 618-281-7373 Fax: 618-281-6463 |