Rossville Medical Clinic | |
619 N. Chicago Street Rossville IL 60963-0248 | |
(217) 748-4141 | |
(217) 748-6973 |
Full Name | Rossville Medical Clinic |
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Speciality | Clinic/Center |
Location | 619 N. Chicago Street, Rossville, Illinois |
Authorized Official Name and Position | Harry F. Brockus (CEO) |
Authorized Official Contact | 2172838540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rossville Medical Clinic 701 E Orange St Hoopeston IL 60942-1801 Ph: (217) 383-6792 | Rossville Medical Clinic 619 N. Chicago Street Rossville IL 60963-0248 Ph: (217) 748-4141 |
NPI Number | 1629295324 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 05/12/2016 |
Medicare PECOS PAC ID | 3577456037 |
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Medicare Enrollment ID | O20081014000099 |
Identifier | Type | State | Issuer |
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1629295324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Illinois) | Secondary |
261QR1300X | Clinic/center - Rural Health | 000420 (Illinois) | Primary |