| Springfield Clinic Jacksonville Rural Health | |
|
15 Founders Ln Jacksonville IL 62650-3919 | |
| (217) 291-1041 | |
| Not Available |
| Full Name | Springfield Clinic Jacksonville Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Founders Ln, Jacksonville, Illinois |
| Authorized Official Name and Position | Alan Nerone (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Contact | 2175287541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic Jacksonville Rural Health 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 | Springfield Clinic Jacksonville Rural Health 15 Founders Ln Jacksonville IL 62650-3919 Ph: (217) 291-1041 |
| NPI Number | 1598068793 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 12/08/2017 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20110516000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598068793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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