| Rural Health Clinic Of Moultrie County Llc | |
|
2 W Adams Sullivan IL 61951-1943 | |
| (217) 728-7353 | |
| (217) 728-2580 |
| Full Name | Rural Health Clinic Of Moultrie County Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 W Adams, Sullivan, Illinois |
| Authorized Official Name and Position | Faisal Bukhari (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2177287353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Clinic Of Moultrie County Llc 2 W Adams Sullivan IL 61951-1943 Ph: (217) 728-7353 | Rural Health Clinic Of Moultrie County Llc 2 W Adams Sullivan IL 61951-1943 Ph: (217) 728-7353 |
| NPI Number | 1831361344 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 04/29/2024 |
| Medicare PECOS PAC ID | 6103051024 |
|---|---|
| Medicare Enrollment ID | O20140116000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831361344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Decatur Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 W Jackson St, Sullivan, IL 61951 Phone: 217-728-2042 Fax: 217-728-2485 | |
Dearnbarger Family Practice S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Jefferson St, Sullivan, IL 61951 Phone: 217-621-6595 | |
Faisal Bukhari Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 W. Adams, Sullivan, IL 61951 Phone: 217-728-7353 Fax: 217-728-2580 | |
Medical Income Management Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Jefferson St, Sullivan, IL 61951 Phone: 217-728-9999 |