| Graham Hospital Association | |
|
126 N 5th Ave Canton IL 61520-1654 | |
| (309) 647-0201 | |
| Not Available |
| Full Name | Graham Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 126 N 5th Ave, Canton, Illinois |
| Authorized Official Name and Position | Paige Fahnestock (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3096475240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Hospital Association 126 N 5th Ave Canton IL 61520-1654 Ph: () - | Graham Hospital Association 126 N 5th Ave Canton IL 61520-1654 Ph: (309) 647-0201 |
| NPI Number | 1124735402 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 2769375021 |
|---|---|
| Medicare Enrollment ID | O20230425001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124735402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N 5th Ave, Canton, IL 61520 Phone: 309-647-0201 | |
Graham Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-5302 | |
Fulton County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 East Oak Street, Canton, IL 61520 Phone: 309-647-1134 Fax: 309-647-9545 | |
Spoon River Family Practice Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 E Side Sq, Suite 102, Canton, IL 61520 Phone: 309-647-9980 Fax: 309-647-7792 | |
Graham Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-0201 |