| Siu Quincy Family Practice Center | |
|
612 N 11th St Quincy IL 62301-2662 | |
| (217) 224-9484 | |
| (217) 224-7894 |
| Full Name | Siu Quincy Family Practice Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 612 N 11th St, Quincy, Illinois |
| Authorized Official Name and Position | Nelson C Weichold (C.F.O.) |
| Authorized Official Contact | 2175457578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siu Quincy Family Practice Center Po Box 19639 Springfield IL 62794-9639 Ph: (217) 545-7578 | Siu Quincy Family Practice Center 612 N 11th St Quincy IL 62301-2662 Ph: (217) 224-9484 |
| NPI Number | 1609811520 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609811520 | NPI | - | NPPES |
| CB2589 | Other | IL | RR MEDICARE |
| CE8687 | Other | IL | RR MEDICARE |
| CE8689 | Other | IL | RR MEDICARE |
| CE8686 | Other | IL | RR MEDICARE |
| CE8931 | Other | IL | RR MEDICARE |
| CE8688 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Siu Center For Family Medicine - Transitions Of Western Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4409 Maine St Ste 100, Quincy, IL 62305 Phone: 217-919-9139 Fax: 217-223-0461 | |
Blessing Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 N 34th St, Quincy, IL 62301 Phone: 217-214-9626 Fax: 217-214-9627 | |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Harrison St, Quincy, IL 62301 Phone: 217-223-8400 | |
Siu Center For Family Medicine - Adams County Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Vermont St Ste 100, Quincy, IL 62301 Phone: 217-222-8440 | |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Broadway St, Quincy, IL 62305 Phone: 217-228-1060 | |
Blessing Fastcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S 24th St Ste 100, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |