<unavail> in Harrisburg, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Harrisburg, Illinois. The current practice location for is 117 E Clark St, Harrisburg, Illinois. For appointments, you can reach them via phone at (618) 252-8625. The mailing address for is Po Box 3988, Carbondale, Illinois and phone number is (618) 457-5200.

is licensed to practice in Illinois (license number 036042756). The clinic also participates in the medicare program and its NPI number is 1750705364. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 252-8625.

Contact Information


	117 E Clark St Harrisburg IL 62946-2702
	(618) 252-8625
	(618) 351-4859

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	117 E Clark St, Harrisburg, Illinois
Authorized Official Name and Position	Warren P Ladner (SENIOR VP CHIEF FINANCIAL OFFICER)
Authorized Official Contact	6184575200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 3988 Carbondale IL 62902-3988 Ph: (618) 457-5200	117 E Clark St Harrisburg IL 62946-2702 Ph: (618) 252-8625

NPI Details:

NPI Number	1750705364
Provider Enumeration Date	02/18/2014
Last Update Date	01/07/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	3678677390
Medicare Enrollment ID	O20140317001075

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750705364	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	036042756 (Illinois)	Primary

Reviews and Comments

Clinic/Center in Harrisburg, IL

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540
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- Medicare Primary Care in Harrisburg, IL