- Primary Care in Pontoon Beach, IL

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is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pontoon Beach, Illinois. The current practice location for is 3924 Oakmont Dr, Pontoon Beach, Illinois. For appointments, you can reach them via phone at (618) 397-3303. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1386825412. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (618) 397-3303.

Contact Information

3924 Oakmont Dr
Pontoon Beach
IL 62040-4395
(618) 397-3303
(618) 397-7802

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location3924 Oakmont Dr, Pontoon Beach, Illinois
Authorized Official Name and PositionLarry Mcculley (COO)
Authorized Official Contact6183320694
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

8080 State St
East Saint Louis
IL 62203-1808

Ph: (618) 397-3303
3924 Oakmont Dr
Pontoon Beach
IL 62040-4395

Ph: (618) 397-3303

NPI Details:

NPI Number1386825412
Provider Enumeration Date11/16/2007
Last Update Date11/16/2007

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386825412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Pontoon Beach, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.