| Vermilion County Healthcare, Inc. | |
|
715 W Fairchild St Danville IL 61832-3795 | |
| (217) 446-1100 | |
| (217) 446-1101 |
| Full Name | Vermilion County Healthcare, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 715 W Fairchild St, Danville, Illinois |
| Authorized Official Name and Position | Julie Ann Holycross (PHYSICAN ASSISTANT/CEO) |
| Authorized Official Contact | 2174461100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermilion County Healthcare, Inc. 715 W Fairchild St Danville IL 61832-3795 Ph: (217) 446-1100 | Vermilion County Healthcare, Inc. 715 W Fairchild St Danville IL 61832-3795 Ph: (217) 446-1100 |
| NPI Number | 1639461338 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639461338 | NPI | - | NPPES |
| 3416295686183230 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 085002684 (Illinois) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 036103275 (Illinois) | Primary |
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