| Mckinley Health Center | |
|
2166 Madison Avenue Granite City IL 62040 | |
| (618) 452-3301 | |
| (618) 452-3312 |
| Full Name | Mckinley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2166 Madison Avenue, Granite City, Illinois |
| Authorized Official Name and Position | Larry W Mcculley (CEO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinley Health Center 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Mckinley Health Center 2166 Madison Avenue Granite City IL 62040 Ph: (618) 452-3301 |
| NPI Number | 1326392747 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 11/07/2012 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20121120000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326392747 | NPI | - | NPPES |
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