| Johnston City Medical Clinic, S. C. | |
|
201 W Broadway Blvd Johnston City IL 62951-1427 | |
| (618) 983-6911 | |
| (618) 983-6913 |
| Full Name | Johnston City Medical Clinic, S. C. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 201 W Broadway Blvd, Johnston City, Illinois |
| Authorized Official Name and Position | Khalid Javed (ADMINISTRATOR) |
| Authorized Official Contact | 6189836911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston City Medical Clinic, S. C. 201 W Broadway Blvd P. O. Box 209 Johnston City IL 62951-1427 Ph: (618) 983-6911 | Johnston City Medical Clinic, S. C. 201 W Broadway Blvd Johnston City IL 62951-1427 Ph: (618) 983-6911 |
| NPI Number | 1962428516 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962428516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
Johnston City Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14410 Route 37, Johnston City Community Health Center, Johnston City, IL 62951 Phone: 618-983-6911 Fax: 618-724-2571 |