| Priority Integrated Healthcare Pc | |
|
905 S Park Ave Herrin IL 62948-4112 | |
| (618) 988-6000 | |
| Not Available |
| Full Name | Priority Integrated Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 905 S Park Ave, Herrin, Illinois |
| Authorized Official Name and Position | Dennis Mcguire (PRESIDENT) |
| Authorized Official Contact | 6189886000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Integrated Healthcare Pc 905 S Park Ave Herrin IL 62948-4112 Ph: (618) 988-6000 | Priority Integrated Healthcare Pc 905 S Park Ave Herrin IL 62948-4112 Ph: (618) 988-6000 |
| NPI Number | 1780345041 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Medicare PECOS PAC ID | 3779948245 |
|---|---|
| Medicare Enrollment ID | O20230505001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780345041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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