| Old Six Mile Inpatient Services, Llc | |
|
2100 Madison Ave Granite City IL 62040-4701 | |
| (618) 798-3000 | |
| Not Available |
| Full Name | Old Six Mile Inpatient Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Authorized Official Name and Position | Douglas Webster (PRESIDENT) |
| Authorized Official Contact | 4694012386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Six Mile Inpatient Services, Llc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (469) 401-2386 | Old Six Mile Inpatient Services, Llc 2100 Madison Ave Granite City IL 62040-4701 Ph: (618) 798-3000 |
| NPI Number | 1285060665 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285060665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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