| Springfield Clinic Rural Health Flora | |
|
501 N Main St Flora IL 62839-1405 | |
| (618) 403-5040 | |
| (618) 403-5042 |
| Full Name | Springfield Clinic Rural Health Flora |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N Main St, Flora, 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 Rural Health Flora 1025 S 6th St Po Box 19248 Springfield IL 62703-2403 Ph: (217) 528-7541 | Springfield Clinic Rural Health Flora 501 N Main St Flora IL 62839-1405 Ph: (618) 403-5040 |
| NPI Number | 1053508960 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 07/24/2017 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20160226000944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053508960 | NPI | - | NPPES |
| PENDING | Other | IL | MEDICARE PART A # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
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