Marion Wellness | |
1700 Wildcat Dr Ste A Marion IL 62959-1513 | |
(618) 969-8228 | |
(618) 998-0880 |
Full Name | Marion Wellness |
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Speciality | Clinic/Center |
Location | 1700 Wildcat Dr Ste A, Marion, Illinois |
Authorized Official Name and Position | Christina Carney (CEO) |
Authorized Official Contact | 6189569521 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marion Wellness 109 California St P O Box 577 Carterville IL 62918-0577 Ph: (618) 985-8221 | Marion Wellness 1700 Wildcat Dr Ste A Marion IL 62959-1513 Ph: (618) 969-8228 |
NPI Number | 1881624161 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 1658285671 |
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Medicare Enrollment ID | O20050322000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881624161 | NPI | - | NPPES |
10032052 | Other | IL | BCBS |
CF3444 | Other | IL | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Michael P Lawler Md S Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St Ste 3, Marion, IL 62959 Phone: 618-967-7660 | |
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Simca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 305, Marion, IL 62959 Phone: 618-998-7000 | |
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