| Rural Health Center Of Roodhouse | |
|
132 W Lorton St Roodhouse IL 62082-1569 | |
| (217) 589-4629 | |
| (217) 589-4070 |
| Full Name | Rural Health Center Of Roodhouse |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 W Lorton St, Roodhouse, Illinois |
| Authorized Official Name and Position | Stace Holland (CEO) |
| Authorized Official Contact | 2179426946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Center Of Roodhouse 132 W Lorton St Roodhouse IL 62082-1569 Ph: (217) 589-4629 | Rural Health Center Of Roodhouse 132 W Lorton St Roodhouse IL 62082-1569 Ph: (217) 589-4629 |
| NPI Number | 1144313180 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 8123085560 |
|---|---|
| Medicare Enrollment ID | O20050822000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144313180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jch Medical Group-roodhouse Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 414 S State St, Roodhouse, IL 62082 Phone: 217-589-4383 Fax: 217-589-4409 |