| Professional Health Services | |
|
410 W Saint Louis St West Frankfort IL 62896-1956 | |
| (618) 932-2200 | |
| (618) 932-2202 |
| Full Name | Professional Health Services |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 410 W Saint Louis St, West Frankfort, Illinois |
| Authorized Official Name and Position | Stacy Gardner (FAMILY NURSE PRACTITIONER/ OWNER) |
| Authorized Official Contact | 6189322200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Health Services 410 W Saint Louis St West Frankfort IL 62896-1956 Ph: (618) 932-2200 | Professional Health Services 410 W Saint Louis St West Frankfort IL 62896-1956 Ph: (618) 932-2200 |
| NPI Number | 1285806422 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285806422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 209007026 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Logan Primary Care Service Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W St Louis, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-932-3797 | |
West Frankfort Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-3507 | |
Logan Primary Care Service Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 W St Louis, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-932-3797 | |
West Frankfort Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 W Saint Louis St Ste B, West Frankfort, IL 62896 Phone: 618-932-2200 Fax: 618-932-2202 | |
West Frankfort Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 Phone: 618-937-6409 Fax: 618-937-1619 | |
Franklin Rural Health Clinic Iii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-937-3526 Fax: 618-932-3619 |