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1005 Health Center Drive, Suite 103 Prairie Pavilion I Mattoon IL 61938-4693 | |
(217) 258-4051 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1005 Health Center Drive, Suite 103, Mattoon, Illinois |
Authorized Official Name and Position | Craig Sheagren (CFO) |
Authorized Official Contact | 2172582513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 Health Center Dr Mattoon IL 61938-9253 Ph: () - | 1005 Health Center Drive, Suite 103 Prairie Pavilion I Mattoon IL 61938-4693 Ph: (217) 258-4051 |
NPI Number | 1588782627 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 03/19/2012 |
Identifier | Type | State | Issuer |
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1588782627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bella Family Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10555 E County Road 800n, Mattoon, IL 61938 Phone: 217-235-4227 Fax: 217-235-4274 | |