| Sih Medical Group Anna Primary Care | |
|
98 Peach Ridge Rd Anna IL 62906-2243 | |
| (618) 614-1400 | |
| (618) 614-1401 |
| Full Name | Sih Medical Group Anna Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 98 Peach Ridge Rd, Anna, Illinois |
| Authorized Official Name and Position | Kimberly Sue Lingle (DIRECTOR FINANCE) |
| Authorized Official Contact | 6184575200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sih Medical Group Anna Primary Care 1239 E Main St Carbondale IL 62901-3175 Ph: (618) 457-5200 | Sih Medical Group Anna Primary Care 98 Peach Ridge Rd Anna IL 62906-2243 Ph: (618) 614-1400 |
| NPI Number | 1538689062 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3678677390 |
|---|---|
| Medicare Enrollment ID | O20170925000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538689062 | NPI | - | NPPES |
| 1770656837 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
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