Springfield Clinic Mt Pulaski Rural Health | |
509 E Chestnut St Mount Pulaski IL 62548-1008 | |
(217) 792-3756 | |
Not Available |
Full Name | Springfield Clinic Mt Pulaski Rural Health |
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Speciality | Clinic/center - Rural Health |
Location | 509 E Chestnut St, Mount Pulaski, Illinois |
Authorized Official Name and Position | Randy Bryant (CEO) |
Authorized Official Contact | 2175287541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Springfield Clinic Mt Pulaski Rural Health 1025 S 7th St Springfield IL 62703-2416 Ph: (217) 528-7541 | Springfield Clinic Mt Pulaski Rural Health 509 E Chestnut St Mount Pulaski IL 62548-1008 Ph: (217) 792-3756 |
NPI Number | 1265702799 |
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Provider Enumeration Date | 12/30/2011 |
Last Update Date | 12/30/2011 |
Identifier | Type | State | Issuer |
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1265702799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |