Home Town Healthcare & Urgent Care | |
410 11th Ave Orion IL 61273-7772 | |
(309) 258-2804 | |
Not Available |
Full Name | Home Town Healthcare & Urgent Care |
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Speciality | Clinic/Center |
Location | 410 11th Ave, Orion, Illinois |
Authorized Official Name and Position | Kristine Morland-schultz (NP/OWNER) |
Authorized Official Contact | 3092582804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Home Town Healthcare & Urgent Care 9377 E 600th St Lynn Center IL 61262-9789 Ph: (309) 258-2804 | Home Town Healthcare & Urgent Care 410 11th Ave Orion IL 61273-7772 Ph: (309) 258-2804 |
NPI Number | 1568134922 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 10/04/2021 |
Medicare PECOS PAC ID | 0648664722 |
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Medicare Enrollment ID | O20220307001750 |
Identifier | Type | State | Issuer |
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1568134922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Kristine M Morland-schultz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922383280 PECOS PAC ID: 8325272768 Enrollment ID: I20131017001924 |
Hammond Henry Dist Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Division St, Orion, IL 61273 Phone: 309-944-6431 |