| Red Bud Regional Clinic Company Llc | |
|
509 Hamacher St Suite 103 Waterloo IL 62298-1592 | |
| (618) 939-2273 | |
| (618) 939-0245 |
| Full Name | Red Bud Regional Clinic Company Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 509 Hamacher St, Waterloo, Illinois |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Bud Regional Clinic Company Llc 1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (615) 221-1400 | Red Bud Regional Clinic Company Llc 509 Hamacher St Suite 103 Waterloo IL 62298-1592 Ph: (618) 939-2273 |
| NPI Number | 1992191951 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992191951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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