Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1025 Maine St, Quincy, Illinois |
Authorized Official Name and Position | Patty Woerman (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2172226550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1025 Maine St Quincy IL 62301-4038 Ph: (217) 222-6550 | 1025 Maine St Quincy IL 62301-4038 Ph: (217) 222-6550 |
NPI Number | 1851608780 |
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Provider Enumeration Date | 09/14/2010 |
Last Update Date | 12/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851608780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Broadway St, Quincy, IL 62305 Phone: 217-228-1060 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S 24th St Ste 100, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |