<unavail> in East Saint Louis, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in East Saint Louis, Illinois. The current practice location for is 2001 State St, East Saint Louis, Illinois. For appointments, you can reach them via phone at (618) 271-9191. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811054935. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 271-9191.

Contact Information


	2001 State St East Saint Louis IL 62205-1803
	(618) 271-9191
	(618) 271-9617

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2001 State St, East Saint Louis, Illinois
Authorized Official Name and Position	Larry Mcculley (CHIEF OPERATING OFFICER)
Authorized Official Contact	6183320783
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303	2001 State St East Saint Louis IL 62205-1803 Ph: (618) 271-9191

NPI Details:

NPI Number	1811054935
Provider Enumeration Date	01/02/2007
Last Update Date	10/30/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	1456256874
Medicare Enrollment ID	O20081029000867

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811054935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in East Saint Louis, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0207 Fax: 618-271-9617
Osh-il Physicians Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2420 State St, East Saint Louis, IL 62205 Phone: 618-318-8809 Fax: 618-615-4205
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905
Southern Illinois Regional Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1736 Kingshighway, East Saint Louis, IL 62204 Phone: 618-874-3120 Fax: 618-215-4048
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 State Route 203, Suite 1, East Saint Louis, IL 62201 Phone: 941-225-2520 Fax: 888-860-8609
Kenneth Hall Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East Saint Louis, IL 62201 Phone: 618-482-7044 Fax: 618-482-7018

- Medicare Primary Care in East Saint Louis, IL