Prompt Care | |
2712 Broadway St Mount Vernon IL 62864-2342 | |
(618) 244-2000 | |
(618) 244-6625 |
Full Name | Prompt Care |
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Speciality | Family Medicine |
Location | 2712 Broadway St, Mount Vernon, Illinois |
Authorized Official Name and Position | Franklin Harrison (OWNER) |
Authorized Official Contact | 6182442000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prompt Care Po Box 767 Mount Vernon IL 62864-0015 Ph: (618) 244-2000 | Prompt Care 2712 Broadway St Mount Vernon IL 62864-2342 Ph: (618) 244-2000 |
NPI Number | 1316211345 |
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Provider Enumeration Date | 03/08/2012 |
Last Update Date | 03/08/2012 |
Medicare PECOS PAC ID | 3577718311 |
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Medicare Enrollment ID | O20130301000049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316211345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036076625 (Illinois) | Primary |
Provider Name | Murke F Harrison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003807157 PECOS PAC ID: 7911808324 Enrollment ID: I20040119000379 |
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