| Springfield Clinic Jacksonville Urgent Care | |
|
1000 W Morton Ave Jacksonville IL 62650-3152 | |
| (217) 243-6520 | |
| Not Available |
| Full Name | Springfield Clinic Jacksonville Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W Morton Ave, Jacksonville, Illinois |
| Authorized Official Name and Position | Cal Robert Thomas (CHIEF DEVELOPMENT OFFICER) |
| 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 Urgent Care Po Box 19248 Springfield IL 62794-9248 Ph: (175) 287-5412 | Springfield Clinic Jacksonville Urgent Care 1000 W Morton Ave Jacksonville IL 62650-3152 Ph: (217) 243-6520 |
| NPI Number | 1073228664 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20230126000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073228664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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