| Fair Winds Direct Care, PLLC | |
|
100 S Center St Ste 201 Clinton IL 61727-1958 | |
| (309) 682-0374 | |
| Not Available |
| Full Name | Fair Winds Direct Care, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 S Center St Ste 201, Clinton, Illinois |
| Authorized Official Name and Position | Morgan Massey (OWNER) |
| Authorized Official Contact | 2175193568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Winds Direct Care, PLLC 100 S Center St Ste 201 Clinton IL 61727-1958 Ph: (309) 682-0374 | Fair Winds Direct Care, PLLC 100 S Center St Ste 201 Clinton IL 61727-1958 Ph: (309) 682-0374 |
| NPI Number | 1881550804 |
|---|---|
| Provider Enumeration Date | 01/03/2026 |
| Last Update Date | 01/03/2026 |
| Certification Date | 01/03/2026 |
| Medicare PECOS PAC ID | 4688156706 |
|---|---|
| Medicare Enrollment ID | O20260306001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881550804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Morgan Andrea Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033587829 PECOS PAC ID: 4789993650 Enrollment ID: I20151014003383 |
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