| County Of Clay | |
|
929 Stacey Burk Dr Flora IL 62839-3241 | |
| (618) 662-2191 | |
| (618) 662-1482 |
| Full Name | County Of Clay |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 Stacey Burk Dr, Flora, Illinois |
| Authorized Official Name and Position | Carrie Miller (CHIEF NURSING OFFICER) |
| Authorized Official Contact | 6186622131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Clay Po Box 280 Flora IL 62839-0280 Ph: (618) 662-2131 | County Of Clay 929 Stacey Burk Dr Flora IL 62839-3241 Ph: (618) 662-2191 |
| NPI Number | 1811946411 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 0042101982 |
|---|---|
| Medicare Enrollment ID | O20040322000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811946411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michael P Klingler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447450085 PECOS PAC ID: 7416021936 Enrollment ID: I20080801000167 |
| Provider Name | Harry A Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165261 PECOS PAC ID: 0244360071 Enrollment ID: I20100604000815 |
| Provider Name | Jason B Jerabek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396853008 PECOS PAC ID: 5890826986 Enrollment ID: I20110114001075 |
| Provider Name | Billie J Toland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689008591 PECOS PAC ID: 3577799113 Enrollment ID: I20131204000144 |
| Provider Name | Jeanne E Holdren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497860811 PECOS PAC ID: 7315161593 Enrollment ID: I20140609001296 |
| Provider Name | Brandon L Cycholl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144208349 PECOS PAC ID: 7911074448 Enrollment ID: I20150923000906 |
| Provider Name | Nicole R Uhlmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922417740 PECOS PAC ID: 9830491448 Enrollment ID: I20160411001212 |
| Provider Name | Derek James Storck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396282448 PECOS PAC ID: 6406133909 Enrollment ID: I20180312001688 |
| Provider Name | Teresa C Boose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699174185 PECOS PAC ID: 6204182454 Enrollment ID: I20180702002006 |
| Provider Name | Catherine N Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496819 PECOS PAC ID: 3274883228 Enrollment ID: I20180912002007 |
| Provider Name | Destiny R Dannells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427606920 PECOS PAC ID: 1951735380 Enrollment ID: I20191218001088 |
| Provider Name | Kara B Dobyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093341687 PECOS PAC ID: 4789013947 Enrollment ID: I20200409001059 |
| Provider Name | Myranda M Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205479961 PECOS PAC ID: 5092145185 Enrollment ID: I20200413002016 |
| Provider Name | Krystal Volk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639776297 PECOS PAC ID: 0042622516 Enrollment ID: I20201208001053 |
| Provider Name | Jennifer J Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982134557 PECOS PAC ID: 1658780697 Enrollment ID: I20210504002187 |
| Provider Name | Jacklyn K Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073285482 PECOS PAC ID: 1153717715 Enrollment ID: I20220407000209 |
| Provider Name | Christina L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528708260 PECOS PAC ID: 9133516107 Enrollment ID: I20220420002985 |
| Provider Name | Jessie R Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063766830 PECOS PAC ID: 1951785666 Enrollment ID: I20220830002079 |
| Provider Name | Sara Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336857390 PECOS PAC ID: 1759753569 Enrollment ID: I20230203001787 |
| Provider Name | Heather L Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326820218 PECOS PAC ID: 4587011283 Enrollment ID: I20231116001907 |
| Provider Name | Heather M Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275302986 PECOS PAC ID: 2668815796 Enrollment ID: I20240206002341 |
| Provider Name | Scout M Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093575508 PECOS PAC ID: 4284075292 Enrollment ID: I20240508001846 |
| Provider Name | Holly O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598575680 PECOS PAC ID: 1658896030 Enrollment ID: I20250417002467 |
Springfield Clinic Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Main St, Flora, IL 62839 Phone: 618-403-5040 Fax: 618-403-5042 | |
Katie J Burmeister Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 N Main St, Flora, IL 62839 Phone: 618-662-4828 Fax: 618-662-4830 | |
Flora Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 432 W North Ave, Flora, IL 62839 Phone: 618-662-2334 Fax: 618-662-2332 | |
J. Calvin Wilson, Dds, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E North Ave, Flora, IL 62839 Phone: 618-662-6907 |