Sihf Madison Resolution Faclty | |
1425 6th St Madison IL 62060-1417 | |
(618) 397-3303 | |
(618) 397-7802 |
Full Name | Sihf Madison Resolution Faclty |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1425 6th St, Madison, Illinois |
Authorized Official Name and Position | Larry Mcculley (COO) |
Authorized Official Contact | 6183320694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sihf Madison Resolution Faclty 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Sihf Madison Resolution Faclty 1425 6th St Madison IL 62060-1417 Ph: (618) 397-3303 |
NPI Number | 1740461870 |
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Provider Enumeration Date | 11/16/2007 |
Last Update Date | 11/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740461870 | NPI | - | NPPES |
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