| Ast Primary Care Carlyle | |
|
1297 Franklin St Carlyle IL 62231-1718 | |
| (618) 227-7229 | |
| (618) 227-9275 |
| Full Name | Ast Primary Care Carlyle |
|---|---|
| Speciality | Clinic/Center |
| Location | 1297 Franklin St, Carlyle, Illinois |
| Authorized Official Name and Position | Jennia Rensing (OFFICE MANAGER) |
| Authorized Official Contact | 6188999200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ast Primary Care Carlyle 1297 Franklin St Carlyle IL 62231-1718 Ph: (618) 227-7229 | Ast Primary Care Carlyle 1297 Franklin St Carlyle IL 62231-1718 Ph: (618) 227-7229 |
| NPI Number | 1831876838 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 3274857685 |
|---|---|
| Medicare Enrollment ID | O20230816001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831876838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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