| Cedar Court Specialty Clinic | |
|
1250 Cedar Ct Carbondale IL 62901-5334 | |
| (618) 351-1213 | |
| (618) 351-1905 |
| Full Name | Cedar Court Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1250 Cedar Ct, Carbondale, Illinois |
| Authorized Official Name and Position | Frederick Bernstein (C.E.O.) |
| Authorized Official Contact | 6184570450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Court Specialty Clinic Po Box 3008 Carbondale IL 62902-3008 Ph: (618) 457-0450 | Cedar Court Specialty Clinic 1250 Cedar Ct Carbondale IL 62901-5334 Ph: (618) 351-1213 |
| NPI Number | 1073572350 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073572350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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