| Belleville Family Health Center | |
|
180 S 3rd St Ste 103&104 Belleville IL 62220 | |
| (618) 233-5480 | |
| (618) 233-4790 |
| Full Name | Belleville Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 S 3rd St Ste 103&104, Belleville, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6183320783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belleville Family Health Center 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Belleville Family Health Center 180 S 3rd St Ste 103&104 Belleville IL 62220 Ph: (618) 233-5480 |
| NPI Number | 1780609578 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20060208000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780609578 | NPI | - | NPPES |
| 732740 | Other | IL | WPS MEDICARE GROUP NUMBER |
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