| Cass County Health Clinic | |
|
331 S Main St Virginia IL 62691-1519 | |
| (217) 452-3057 | |
| (217) 452-7245 |
| Full Name | Cass County Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 331 S Main St, Virginia, Illinois |
| Authorized Official Name and Position | Teresa L Armstrong (ADMINISTRATOR) |
| Authorized Official Contact | 2174523057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cass County Health Clinic 331 S Main St Virginia IL 62691-1519 Ph: (217) 452-3057 | Cass County Health Clinic 331 S Main St Virginia IL 62691-1519 Ph: (217) 452-3057 |
| NPI Number | 1164596375 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 5395745137 |
|---|---|
| Medicare Enrollment ID | O20070202000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164596375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Alan J Deckard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104801190 PECOS PAC ID: 0648232504 Enrollment ID: I20041102000888 |
| Provider Name | Dirck Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952339293 PECOS PAC ID: 1850363722 Enrollment ID: I20051116000366 |
| Provider Name | Abdul W Royeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821227976 PECOS PAC ID: 8022287754 Enrollment ID: I20110812000623 |
| Provider Name | Emily Eichelberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346788197 PECOS PAC ID: 9436433141 Enrollment ID: I20171117000945 |
| Provider Name | Kylea Tibbs-hnizdo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174807705 PECOS PAC ID: 7113203993 Enrollment ID: I20200921000436 |
| Provider Name | Suzanne Filbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902430523 PECOS PAC ID: 9638507833 Enrollment ID: I20220801001798 |
Cass County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Main St, Virginia, IL 62691 Phone: 217-452-3057 Fax: 217-452-7245 |