Whiteside County Community Health Clinic | |
306 S Hennepin Ave Dixon IL 61021-3020 | |
(815) 626-2230 | |
Not Available |
Full Name | Whiteside County Community Health Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 306 S Hennepin Ave, Dixon, Illinois |
Authorized Official Name and Position | Cheryl L Lee (PHA/CEO) |
Authorized Official Contact | 8156262230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Whiteside County Community Health Clinic 1300 W 2nd St Rock Falls IL 61071-1005 Ph: (815) 626-2230 | Whiteside County Community Health Clinic 306 S Hennepin Ave Dixon IL 61021-3020 Ph: (815) 626-2230 |
NPI Number | 1093389322 |
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Provider Enumeration Date | 05/20/2021 |
Last Update Date | 02/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093389322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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