| Clay Medical Center | |
|
165 Kinnaman Dr Flora IL 62839-4204 | |
| (618) 662-8386 | |
| (618) 662-4338 |
| Full Name | Clay Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 Kinnaman Dr, Flora, Illinois |
| Authorized Official Name and Position | Kim A Mitroka (PRESIDENT CEO) |
| Authorized Official Contact | 6187242401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Medical Center Christopher Greater Area Rural Health Planning Corp Po Box 155 Christopher IL 62822 Ph: (618) 724-2401 | Clay Medical Center 165 Kinnaman Dr Flora IL 62839-4204 Ph: (618) 662-8386 |
| NPI Number | 1528048105 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Medicare PECOS PAC ID | 8224947387 |
|---|---|
| Medicare Enrollment ID | O20061018000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528048105 | NPI | - | NPPES |
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