| Msa Alliance, Llc | |
|
4017 Illinois Route 159, Suite 101 Smithton IL 62285 | |
| (618) 257-2875 | |
| (618) 257-2895 |
| Full Name | Msa Alliance, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4017 Illinois Route 159,, Smithton, Illinois |
| Authorized Official Name and Position | James B. Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6182574644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msa Alliance, Llc 4500 Memorial Drive Memorial Hospital Medical Affairs Credentialing Dept. Belleville IL 62226 Ph: (618) 257-4644 | Msa Alliance, Llc 4017 Illinois Route 159, Suite 101 Smithton IL 62285 Ph: (618) 257-2875 |
| NPI Number | 1760819676 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760819676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pc Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4017 Illinios Rt. 159, Ste 101, Smithton, IL 62285 Phone: 618-257-2875 Fax: 618-257-2893 |