| Community Health & Emergency Services, Inc. | |
|
Il Route 146 Bldg 2 Elizabethtown IL 62931 | |
| (618) 285-6191 | |
| (618) 285-6833 |
| Full Name | Community Health & Emergency Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Il Route 146 Bldg 2, Elizabethtown, 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. Il Route 146 Bldg 2 Elizabethtown IL 62931 Ph: (618) 285-6191 |
| NPI Number | 1568454130 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 09/01/2010 |
| Medicare PECOS PAC ID | 0749194702 |
|---|---|
| Medicare Enrollment ID | O20070202000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568454130 | NPI | - | NPPES |
| 1616948 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
I & O Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 N Main St, Elizabethtown, IL 62931 Phone: 618-499-4070 |