| Pana Community Hospital Association | |
|
101 E 9th St Suite 105 Pana IL 62557 | |
| (217) 562-2544 | |
| (217) 562-6288 |
| Full Name | Pana Community Hospital Association |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E 9th St, Pana, Illinois |
| Authorized Official Name and Position | Lisa Marie Bloemer (PRACTICE MANAGER) |
| Authorized Official Contact | 2175626257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pana Community Hospital Association 101 E 9th St Suite 105 Pana IL 62557-1716 Ph: (217) 562-2544 | Pana Community Hospital Association 101 E 9th St Suite 105 Pana IL 62557 Ph: (217) 562-2544 |
| NPI Number | 1235225236 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 3274437348 |
|---|---|
| Medicare Enrollment ID | O20080114000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235225236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pana Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Locust St, Pana, IL 62557 Phone: 217-562-2143 Fax: 217-562-2251 | |
Pana Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6246 Fax: 217-562-6228 | |
Pana Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 S Locust St, Pana, IL 62557 Phone: 217-562-2143 Fax: 217-562-2251 | |
Pana Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Locust St, Pana, IL 62557 Phone: 217-562-2143 Fax: 217-562-2251 |