Touchette Health Center | |
5900 Bond Ave Centreville IL 62207-2326 | |
(618) 332-0953 | |
(618) 332-2487 |
Full Name | Touchette Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5900 Bond Ave, Centreville, Illinois |
Authorized Official Name and Position | Larry Mcculley (CEO) |
Authorized Official Contact | 6183320694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Touchette Health Center 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Touchette Health Center 5900 Bond Ave Centreville IL 62207-2326 Ph: (618) 332-0953 |
NPI Number | 1538449509 |
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Provider Enumeration Date | 08/23/2011 |
Last Update Date | 08/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538449509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Illinois) | Primary |