| Knox Community Health Center Nfp | |
|
1361 W Fremont St Galesburg IL 61401-2436 | |
| (309) 344-2225 | |
| (309) 344-2230 |
| Full Name | Knox Community Health Center Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1361 W Fremont St, Galesburg, Illinois |
| Authorized Official Name and Position | Michele Gabriel (CEO) |
| Authorized Official Contact | 3093442224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Community Health Center Nfp 1361 W Fremont St Galesburg IL 61401-2436 Ph: (309) 344-2225 | Knox Community Health Center Nfp 1361 W Fremont St Galesburg IL 61401-2436 Ph: (309) 344-2225 |
| NPI Number | 1649526773 |
|---|---|
| Provider Enumeration Date | 07/26/2012 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 7618126327 |
|---|---|
| Medicare Enrollment ID | O20121012000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649526773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Crystal A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366921884 PECOS PAC ID: 7214270263 Enrollment ID: I20190515001949 |
| Provider Name | Carol Sacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609265149 PECOS PAC ID: 2668797762 Enrollment ID: I20220506001948 |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Seminary St, Galesburg, IL 61401 Phone: 309-647-0201 | |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 N Seminary St, Galesburg, IL 61401 Phone: 309-647-0201 | |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1174 N Seminary St, Galesburg, IL 61401 Phone: 309-647-0201 Fax: 309-647-8613 | |
Knox Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, Galesburg, IL 61401 Phone: 309-343-3316 | |
Osf Healthcare - Medical Group - Galesburg South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 834 N Seminary St, Galesburg, IL 61401 Phone: 309-343-7035 Fax: 309-343-7212 | |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 E 3rd St, Galesburg, IL 61401 Phone: 309-647-0201 | |
Osf Healthcare - Medical Group - Seminary Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 |