| Lawrence County Health Department Rural Health Clinic | |
|
2101 James St Lawrenceville IL 62439-2027 | |
| (618) 943-3302 | |
| (618) 943-6409 |
| Full Name | Lawrence County Health Department Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 James St, Lawrenceville, Illinois |
| Authorized Official Name and Position | Tina Lyden (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 6189433302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence County Health Department Rural Health Clinic 2101 James St Lawrenceville IL 62439-2027 Ph: (618) 943-3302 | Lawrence County Health Department Rural Health Clinic 2101 James St Lawrenceville IL 62439-2027 Ph: (618) 943-3302 |
| NPI Number | 1629132410 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 9830093723 |
|---|---|
| Medicare Enrollment ID | O20031121000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629132410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Jeanne E Holdren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497860811 PECOS PAC ID: 7315161593 Enrollment ID: I20140609001296 |
| Provider Name | Emma Ray Engel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225235195 PECOS PAC ID: 9931231727 Enrollment ID: I20190508001582 |
| Provider Name | Amelia L Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760973424 PECOS PAC ID: 5890046999 Enrollment ID: I20191016002491 |
| Provider Name | Megan E Joergens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225485527 PECOS PAC ID: 2668882036 Enrollment ID: I20210311000629 |
| Provider Name | Yanci Shroyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427723345 PECOS PAC ID: 0648663112 Enrollment ID: I20220204000554 |
| Provider Name | Alesha Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598179871 PECOS PAC ID: 9537444609 Enrollment ID: I20220329000361 |
Southern Illinois Harm Reduction Nfp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 State Route 1 Ste 3, Lawrenceville, IL 62439 Phone: 618-554-6084 | |
Rachel A. Winters M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Suite 3, Lawrenceville, IL 62439 Phone: 618-943-6202 | |
Steven M. Ramsaran, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Suite 6, Lawrenceville, IL 62439 Phone: 618-943-1996 Fax: 618-943-6138 | |
Lcmh Primary Care Clinic-rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7216 Fax: 618-943-7219 | |
Lawrence County Rule Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-1000 Fax: 618-943-7223 |