| Christopher Family Healthcare Clinic | |
|
905 N Victor St Christopher IL 62822-1529 | |
| (618) 435-9699 | |
| Not Available |
| Full Name | Christopher Family Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 N Victor St, Christopher, Illinois |
| Authorized Official Name and Position | Rikki Bonthron (CFO) |
| Authorized Official Contact | 6184359601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Family Healthcare Clinic 201 Bailey Ln Benton IL 62812-1969 Ph: (183) 439-9171 | Christopher Family Healthcare Clinic 905 N Victor St Christopher IL 62822-1529 Ph: (618) 435-9699 |
| NPI Number | 1134991292 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 4082516042 |
|---|---|
| Medicare Enrollment ID | O20240216000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134991292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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