| Fairfield Memorial Hospital Association | |
|
213 Nw 10th St Suite A Fairfield IL 62837-1219 | |
| (618) 842-4617 | |
| (618) 842-4743 |
| Full Name | Fairfield Memorial Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 Nw 10th St, Fairfield, Illinois |
| Authorized Official Name and Position | Melody Morgan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6188478260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Memorial Hospital Association 303 Nw 11th St Fairfield IL 62837-1203 Ph: (618) 842-2611 | Fairfield Memorial Hospital Association 213 Nw 10th St Suite A Fairfield IL 62837-1219 Ph: (618) 842-4617 |
| NPI Number | 1295908853 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 03/17/2016 |
| Medicare PECOS PAC ID | 5698671741 |
|---|---|
| Medicare Enrollment ID | O20081111000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295908853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southern Illinois Primary Care Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4470 Fax: 618-842-3437 | |
Penny Attaway Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 W Main St, Westport Plaza, Fairfield, IL 62837 Phone: 618-842-5285 Fax: 618-842-4576 | |
Fairfield Memorial Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 | |
Southern Illinois Primary Care Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4470 Fax: 618-842-3437 |