| John Hall Md Rural Health Services | |
|
3505 Broadway St Ste A Mount Vernon IL 62864-2202 | |
| (618) 244-7788 | |
| (618) 244-9330 |
| Full Name | John Hall Md Rural Health Services |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3505 Broadway St Ste A, Mount Vernon, Illinois |
| Authorized Official Name and Position | Cathy D Lisenby (OFFICE MANAGER) |
| Authorized Official Contact | 6182447788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Hall Md Rural Health Services 3505 Broadway St Ste A Mount Vernon IL 62864-2202 Ph: (618) 244-7788 | John Hall Md Rural Health Services 3505 Broadway St Ste A Mount Vernon IL 62864-2202 Ph: (618) 244-7788 |
| NPI Number | 1871706374 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871706374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
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