| West Frankfort Family Healthcare Clinic | |
|
309 W Saint Louis St Ste B West Frankfort IL 62896-2047 | |
| (618) 932-2200 | |
| (618) 932-2202 |
| Full Name | West Frankfort Family Healthcare Clinic |
|---|---|
| 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 | Practice Location Address |
|---|---|
| West Frankfort Family Healthcare Clinic 201 Bailey Ln Benton IL 62812-1969 Ph: (618) 439-3161 | West Frankfort Family Healthcare Clinic 309 W Saint Louis St Ste B West Frankfort IL 62896-2047 Ph: (618) 932-2200 |
| NPI Number | 1376861385 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 03/19/2019 |
| Medicare PECOS PAC ID | 4082516042 |
|---|---|
| Medicare Enrollment ID | O20100804001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376861385 | NPI | - | NPPES |
| 209232 | Other | IL | MEDICARE P-TAN PROFESSIONAL FEE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0005231 (Illinois) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |
West Frankfort Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-3507 | |
Logan Primary Care Service Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 W St Louis, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-932-3797 | |
Professional Health Services 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 | |
West Frankfort Community Health Center 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 | |
Franklin Rural Health Clinic Iii 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 |