Osf Healthcare - Community Health | |
535 Park Ave E Princeton IL 61356-2537 | |
(815) 875-4531 | |
(815) 876-2118 |
Full Name | Osf Healthcare - Community Health |
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Speciality | Clinic/Center |
Location | 535 Park Ave E, Princeton, 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 |
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Osf Healthcare - Community Health 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Healthcare - Community Health 535 Park Ave E Princeton IL 61356-2537 Ph: (815) 875-4531 |
NPI Number | 1417542804 |
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Provider Enumeration Date | 03/08/2021 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 4284541806 |
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Medicare Enrollment ID | O20210723002005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417542804 | NPI | - | NPPES |
999 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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