| Community Health & Emergency Services, Inc. | |
|
13245 Kessler Rd Cairo IL 62914 | |
| (618) 734-4400 | |
| Not Available |
| Full Name | Community Health & Emergency Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13245 Kessler Rd, Cairo, Illinois |
| Authorized Official Name and Position | Frederick L Bernstein (CEO) |
| Authorized Official Contact | 6184570450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health & Emergency Services, Inc. Po Box 3008 Carbondale IL 62902-3008 Ph: (618) 457-0450 | Community Health & Emergency Services, Inc. 13245 Kessler Rd Cairo IL 62914 Ph: (618) 734-4400 |
| NPI Number | 1710979588 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 0749194702 |
|---|---|
| Medicare Enrollment ID | O20040330000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710979588 | NPI | - | NPPES |
| CI2819 | Other | IL | RRMEDICARE/PALMETTO GBA |
| CB1159 | Other | IL | RRMEDICARE/PALMETTO GBA |
| CA5418 | Other | IL | RRMEDICARE/PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | James A Schwab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871593228 PECOS PAC ID: 4981696408 Enrollment ID: I20040402000182 |
| Provider Name | Maureen J Klemme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194821553 PECOS PAC ID: 4082677646 Enrollment ID: I20041105000167 |
| Provider Name | W Christine Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316086788 PECOS PAC ID: 9436177581 Enrollment ID: I20051107000804 |
| Provider Name | Razia Sami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982709382 PECOS PAC ID: 8022180272 Enrollment ID: I20080702000499 |
| Provider Name | John M Boget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770585416 PECOS PAC ID: 1456548569 Enrollment ID: I20101214001229 |
| Provider Name | Natasha Charlyn Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023375409 PECOS PAC ID: 4486817376 Enrollment ID: I20130326000155 |
| Provider Name | Rebekah B Bogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720330608 PECOS PAC ID: 3870729387 Enrollment ID: I20140320000433 |
| Provider Name | Tanya H Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396780722 PECOS PAC ID: 1557670791 Enrollment ID: I20151028003092 |
| Provider Name | Kari Koster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952693731 PECOS PAC ID: 4880972686 Enrollment ID: I20161031000033 |
| Provider Name | Sonja Mcshan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184736811 PECOS PAC ID: 1153663273 Enrollment ID: I20190420000029 |
| Provider Name | Robert D Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548456122 PECOS PAC ID: 7012041965 Enrollment ID: I20200618001800 |
| Provider Name | Valerie A. Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578012217 PECOS PAC ID: 1658737002 Enrollment ID: I20230510001092 |
The Delta Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Commercial Ave, Cairo, IL 62914 Phone: 618-734-1350 | |
Southernmost Illinois Community Health Improvement Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13289 Kessler Rd, Cairo, IL 62914 Phone: 618-734-1500 Fax: 618-734-3949 | |
Ullin Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13245 Kessler Rd, Cairo, IL 62914 Phone: 618-734-4400 Fax: 618-734-2884 |