| Charleston Primary Care Inc. | |
|
506 W Lincoln Ave Suite 200 Charleston IL 61920-2453 | |
| (217) 348-8730 | |
| (217) 345-7146 |
| Full Name | Charleston Primary Care Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 506 W Lincoln Ave, Charleston, Illinois |
| Authorized Official Name and Position | Danelle Jackson (OWNER) |
| Authorized Official Contact | 2172766421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Primary Care Inc. 506 W Lincoln Ave Suite 200 Charleston IL 61920-2453 Ph: (217) 348-8730 | Charleston Primary Care Inc. 506 W Lincoln Ave Suite 200 Charleston IL 61920-2453 Ph: (217) 348-8730 |
| NPI Number | 1770905952 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770905952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Ranchero Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 18th St Ste 238, Charleston, IL 61920 Phone: 447-219-1594 Fax: 408-715-5734 | |
Eastern Illinois University Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Lincoln Ave, Eastern Illinois University, Charleston, IL 61920 Phone: 217-581-3015 Fax: 217-581-3899 | |
Ranchero Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 18th St Ste 238, Charleston, IL 61920 Phone: 630-696-0714 | |
L.e. Mcneill, Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Lincoln Ave, Suites 200a&b, Charleston, IL 61920 Phone: 217-348-8727 Fax: 217-345-7146 | |
Bella Family Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Deerpath, Charleston, IL 61920 Phone: 217-345-4325 |