| Siu Center For Family Medicine - Lincoln | |
|
109 3rd St Lincoln IL 62656-2604 | |
| (217) 545-7876 | |
| (217) 545-4410 |
| Full Name | Siu Center For Family Medicine - Lincoln |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 3rd St, Lincoln, Illinois |
| Authorized Official Name and Position | Iris Wesley (CEO) |
| Authorized Official Contact | 2175457876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siu Center For Family Medicine - Lincoln 109 3rd St Lincoln IL 62656-2604 Ph: (217) 545-7876 | Siu Center For Family Medicine - Lincoln 109 3rd St Lincoln IL 62656-2604 Ph: (217) 545-7876 |
| NPI Number | 1972049641 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 4486667888 |
|---|---|
| Medicare Enrollment ID | O20170316002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972049641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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