| Ast Primary Care Hoyleton | |
|
28 N Main St Hoyleton IL 62803-2000 | |
| (618) 918-7777 | |
| (618) 918-7782 |
| Full Name | Ast Primary Care Hoyleton |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 N Main St, Hoyleton, 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 Hoyleton 28 N Main St Hoyleton IL 62803-2000 Ph: (618) 918-7777 | Ast Primary Care Hoyleton 28 N Main St Hoyleton IL 62803-2000 Ph: (618) 918-7777 |
| NPI Number | 1659058659 |
|---|---|
| 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 | O20230804002096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659058659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Irvington Township Rural Health Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St, Hoyleton, IL 62803 Phone: 618-663-0547 Fax: 418-787-0423 |