Southern Illinois Primary Care Associates, P.c. is a primary clinic (Family Medicine) in Fairfield, Illinois. The current practice location for Southern Illinois Primary Care Associates, P.c. is 209 Nw 11th St, Fairfield, Illinois. For appointments, you can reach them via phone at
(618) 842-4470. The mailing address for Southern Illinois Primary Care Associates, P.c. is 209 Nw 11th St, Fairfield, Illinois and phone number is (618) 842-4470.
Southern Illinois Primary Care Associates, P.c. is licensed to practice in Illinois (license number 060005614) and its
NPI number is 1912904574. 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) 842-4470.
Primary Care Clinic Profile
| Full Name | Southern Illinois Primary Care Associates, P.c. |
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| Speciality | Family Medicine |
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| Location | 209 Nw 11th St, Fairfield, Illinois |
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| Authorized Official Name and Position | Cathy L Harte (DIRECTOR OF BUSINESS/CORP SECRETARY) |
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| Authorized Official Contact | 6188424470 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Southern Illinois Primary Care Associates, P.c.
209 Nw 11th St
Fairfield
IL 62837-1218
Ph: (618) 842-4470 | Southern Illinois Primary Care Associates, P.c.
209 Nw 11th St
Fairfield
IL 62837-1218
Ph: (618) 842-4470 |
NPI Details:
| NPI Number | 1912904574 |
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| Provider Enumeration Date | 06/28/2005 |
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| Last Update Date | 01/14/2011 |
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Medical Identifiers
Medical identifiers for Southern Illinois Primary Care Associates, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912904574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 060005614 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 060005614 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 060005614 (Illinois) | Secondary |
| 208000000X | Pediatrics | 060005614 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 060005614 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 060005614 (Illinois) | Secondary |
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