| The Paxton Clinic | |
|
227 N Market St Paxton IL 60957-1123 | |
| (217) 379-4864 | |
| (217) 379-6494 |
| Full Name | The Paxton Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 N Market St, Paxton, Illinois |
| Authorized Official Name and Position | Matthew Ertel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2177842601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Paxton Clinic 227 N Market St Paxton IL 60957-1123 Ph: (217) 379-4864 | The Paxton Clinic 227 N Market St Paxton IL 60957-1123 Ph: (217) 379-4864 |
| NPI Number | 1992700595 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5092703124 |
|---|---|
| Medicare Enrollment ID | O20100831000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992700595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 006 (Illinois) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
The Paxton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-4864 Fax: 217-379-2604 |