Full Name | |
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Speciality | Clinic/Center |
Location | 5 S. Walnut St., Oakland, Illinois |
Authorized Official Name and Position | Martin Adams (CFO) |
Authorized Official Contact | 2174664246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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721 E Court St Paris IL 61944-2460 Ph: (217) 465-4141 | 5 S. Walnut St. Oakland IL 61943 Ph: (217) 346-2353 |
NPI Number | 1831559509 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 03/15/2023 |
Medicare PECOS PAC ID | 7315933827 |
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Medicare Enrollment ID | O20170724000205 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831559509 | NPI | - | NPPES |