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1005 Broadway St Quincy IL 62301-2834 | |
| (217) 223-8400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1005 Broadway St, Quincy, Illinois |
| Authorized Official Name and Position | Kathy Hull (CEO/PRESIDENT) |
| Authorized Official Contact | 2172238400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
640 W Washington St Pittsfield IL 62363-1350 Ph: (217) 223-8400 | 1005 Broadway St Quincy IL 62301-2834 Ph: (217) 223-8400 |
| NPI Number | 1881080596 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881080596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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