Windsor Health Center Ii | |
100 N 8th St Suite 124 East Saint Louis IL 62201-2989 | |
(618) 397-3303 | |
Not Available |
Full Name | Windsor Health Center Ii |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 100 N 8th St, East Saint Louis, Illinois |
Authorized Official Name and Position | Larry Mcculley (CEO) |
Authorized Official Contact | 6183320783 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Windsor Health Center Ii 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 332-0953 | Windsor Health Center Ii 100 N 8th St Suite 124 East Saint Louis IL 62201-2989 Ph: (618) 397-3303 |
NPI Number | 1770851875 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770851875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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