| Mdh Pediatric Clinic | |
|
505 E Grant St Ste 202 Macomb IL 61455-3373 | |
| (309) 833-1729 | |
| (309) 836-1779 |
| Full Name | Mdh Pediatric Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 E Grant St Ste 202, Macomb, Illinois |
| Authorized Official Name and Position | William Murdock (CFO) |
| Authorized Official Contact | 5632443511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdh Pediatric Clinic Po Box 1179 Macomb IL 61455-5579 Ph: (309) 836-1524 | Mdh Pediatric Clinic 505 E Grant St Ste 202 Macomb IL 61455-3373 Ph: (309) 833-1729 |
| NPI Number | 1770100414 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Medicare PECOS PAC ID | 0446140180 |
|---|---|
| Medicare Enrollment ID | O20200715003325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770100414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Mcdonough Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St, Suite 202, Macomb, IL 61455 Phone: 309-833-4101 Fax: 309-836-1525 |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 W Jackson St, Macomb, IL 61455 Phone: 309-647-5240 |
Macomb Internal Medicine Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Grant St, Ste 111, Macomb, IL 61455 Phone: 309-837-9926 Fax: 309-833-1417 |
Family Practice Associates of Macomb Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St, Suite 110 Family Practice Associates Of Macomb Ltd, Macomb, IL 61455 Phone: 309-833-1733 Fax: 309-836-2369 |
Mdh Family Medicine/convenience Care/surgery/ent Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Grant St Ste 213, Macomb, IL 61455 Phone: 309-837-6937 Fax: 309-837-1979 |
Mdh Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jackson St, Macomb, IL 61455 Phone: 309-833-4101 |