<unavail> in West Frankfort, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in West Frankfort, Illinois. The current practice location for is 309 W Saint Louis St Ste B, West Frankfort, Illinois. For appointments, you can reach them via phone at (618) 932-2200. The mailing address for is 201 Bailey Ln, Benton, Illinois and phone number is (618) 439-3161.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376861385. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 932-2200.

Contact Information


	309 W Saint Louis St Ste B West Frankfort IL 62896-2047
	(618) 932-2200
	(618) 932-2202

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	309 W Saint Louis St Ste B, West Frankfort, Illinois
Authorized Official Name and Position	Jim Johnson (CEO)
Authorized Official Contact	6184393161
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
201 Bailey Ln Benton IL 62812-1969 Ph: (618) 439-3161	309 W Saint Louis St Ste B West Frankfort IL 62896-2047 Ph: (618) 932-2200

NPI Details:

NPI Number	1376861385
Provider Enumeration Date	05/14/2010
Last Update Date	03/19/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	4082516042
Medicare Enrollment ID	O20100804001051

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376861385	NPI	-	NPPES
209232	Other	IL	MEDICARE P-TAN PROFESSIONAL FEE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	0005231 (Illinois)	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in West Frankfort, IL

Logan Primary Care Service Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W St Louis, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-932-3797
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-997-9324
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-2200 Fax: 618-932-2202
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 Phone: 618-937-6409 Fax: 618-937-1619
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-937-3526 Fax: 618-932-3619

- Medicare Primary Care in West Frankfort, IL