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 |
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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 |
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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 |
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Provider Enumeration Date | 09/18/2013 |
Last Update Date | 12/10/2013 |
Identifier | Type | State | Issuer |
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1285060665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Granite City Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 27, Granite City, IL 62040 Phone: 618-451-7600 Fax: 618-451-7685 | |
American Healthcare Systems Illinois Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 818-666-0602 | |