Lcmh Primary Care Clinic-rhc | |
2111 Lexington Ave Lawrenceville IL 62439-2085 | |
(618) 943-7216 | |
(618) 943-7219 |
Full Name | Lcmh Primary Care Clinic-rhc |
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Speciality | Clinic/Center |
Location | 2111 Lexington Ave, Lawrenceville, Illinois |
Authorized Official Name and Position | Josey Johnson (PROJECT COORD) |
Authorized Official Contact | 4053719756 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lcmh Primary Care Clinic-rhc 2111 Lexington Ave Lawrenceville IL 62439-2085 Ph: (618) 943-1000 | Lcmh Primary Care Clinic-rhc 2111 Lexington Ave Lawrenceville IL 62439-2085 Ph: (618) 943-7216 |
NPI Number | 1811183692 |
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Provider Enumeration Date | 09/14/2007 |
Last Update Date | 10/27/2022 |
Medicare PECOS PAC ID | 7517144249 |
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Medicare Enrollment ID | O20110720000363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811183692 | NPI | - | NPPES |
1881643401 | Other | LCMH PART A NPI 1881643401 - 141344 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southern Illinois Harm Reduction Nfp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 State Route 1 Ste 3, Lawrenceville, IL 62439 Phone: 618-554-6084 | |
Lawrence County Health Department Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 Fax: 618-943-6409 | |
Rachel A. Winters M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Suite 3, Lawrenceville, IL 62439 Phone: 618-943-6202 | |
Steven M. Ramsaran, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Suite 6, Lawrenceville, IL 62439 Phone: 618-943-1996 Fax: 618-943-6138 | |
Lawrence County Rule Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-1000 Fax: 618-943-7223 |