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910 S Van Buren St Newton IL 62448-1727 | |
(618) 783-3800 | |
(618) 783-5070 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 910 S Van Buren St, Newton, Illinois |
Authorized Official Name and Position | Dennis Pluard (VP FINANCE AND OPERATIONS) |
Authorized Official Contact | 2172582571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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910 S Van Buren St Newton IL 62448-1727 Ph: (618) 783-3800 | 910 S Van Buren St Newton IL 62448-1727 Ph: (618) 783-3800 |
NPI Number | 1649668575 |
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Provider Enumeration Date | 12/30/2014 |
Last Update Date | 05/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649668575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mid-illinois Medical Care Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Washington St Ste 1, Newton, IL 62448 Phone: 618-783-0954 Fax: 618-783-0958 |