| Osf Medical Group- Godfrey | |
|
6702 Godfrey Rd Godfrey IL 62035-2205 | |
| (618) 467-1520 | |
| Not Available |
| Full Name | Osf Medical Group- Godfrey |
|---|---|
| Speciality | Clinic/Center |
| Location | 6702 Godfrey Rd, Godfrey, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Medical Group- Godfrey 124 Sw Adams St Peoria IL 61602-1320 Ph: (309) 655-2850 | Osf Medical Group- Godfrey 6702 Godfrey Rd Godfrey IL 62035-2205 Ph: (618) 467-1520 |
| NPI Number | 1861041980 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4284541806 |
|---|---|
| Medicare Enrollment ID | O20191011000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861041980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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