| State Street Center | |
|
2001 State St East Saint Louis IL 62205-1803 | |
| (618) 271-9191 | |
| (618) 271-9617 |
| Full Name | State Street Center |
|---|---|
| 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 | Practice Location Address |
|---|---|
| State Street Center 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | State Street Center 2001 State St East Saint Louis IL 62205-1803 Ph: (618) 271-9191 |
| NPI Number | 1811054935 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 10/30/2008 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20081029000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811054935 | NPI | - | NPPES |
Southern Illinois University Edwardsville 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 | |
Quick Care I Center 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 | |
Adult Care Center 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 | |
Roadside Medical Clinic And Lab 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 |