Full Name | |
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Speciality | Clinic/Center |
Location | 405 Second Street, Tamms, Illinois |
Authorized Official Name and Position | Frederick L Bernstein (CEO) |
Authorized Official Contact | 6184570450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 3008 Carbondale IL 62902-3008 Ph: (618) 457-0450 | 405 Second Street Tamms IL 62988 Ph: (618) 747-2391 |
NPI Number | 1114919685 |
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Provider Enumeration Date | 08/19/2005 |
Last Update Date | 09/01/2010 |
Medicare PECOS PAC ID | 0749194702 |
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Medicare Enrollment ID | O20101014000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114919685 | NPI | - | NPPES |
1616948 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |