| Siu Healthcare | |
|
610 N Westgate Ave Jacksonville IL 62650-1152 | |
| (217) 243-8455 | |
| Not Available |
| Full Name | Siu Healthcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 610 N Westgate Ave, Jacksonville, Illinois |
| Authorized Official Name and Position | Jo Turley (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 2175457876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siu Healthcare Po Box 19639 Springfield IL 62794-9639 Ph: (217) 545-7876 | Siu Healthcare 610 N Westgate Ave Jacksonville IL 62650-1152 Ph: (217) 243-8455 |
| NPI Number | 1053804443 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 09/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053804443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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