| Cowden Medical Group | |
|
209 E Elm St Cowden IL 62422-1041 | |
| (217) 783-6565 | |
| (217) 783-6577 |
| Full Name | Cowden Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 E Elm St, Cowden, Illinois |
| Authorized Official Name and Position | James Eugene Moon (CFO) |
| Authorized Official Contact | 2175622131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowden Medical Group 101 E 9th St Pana IL 62557-1785 Ph: (217) 562-2131 | Cowden Medical Group 209 E Elm St Cowden IL 62422-1041 Ph: (217) 783-6565 |
| NPI Number | 1720710437 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/01/2024 |
| Medicare PECOS PAC ID | 3274437348 |
|---|---|
| Medicare Enrollment ID | O20220812001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720710437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cowden Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 E Elm Street, Cowden, IL 62422 Phone: 217-783-6565 Fax: 217-783-6577 |