| Physician Rural Health Clinic Of Jefferson County | |
|
3307 Broadway St Ste 130 Mount Vernon IL 62864-2347 | |
| (618) 244-2560 | |
| (618) 244-1572 |
| Full Name | Physician Rural Health Clinic Of Jefferson County |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3307 Broadway St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Veena K Gupta (CEO) |
| Authorized Official Contact | 6182447200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Rural Health Clinic Of Jefferson County 3307 Broadway St Ste 130 Mount Vernon IL 62864-2347 Ph: (618) 244-2560 | Physician Rural Health Clinic Of Jefferson County 3307 Broadway St Ste 130 Mount Vernon IL 62864-2347 Ph: (618) 244-2560 |
| NPI Number | 1649283870 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649283870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Anderson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-7788 Fax: 618-244-9330 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 812-450-6815 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl Ste D, Mount Vernon, IL 62864 Phone: 618-242-4848 | |
King City Physician Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Crossroads Physician Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864 Phone: 618-241-7207 Fax: 618-241-7210 | |
Mt Vernon Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864 Phone: 618-244-6770 Fax: 618-244-6772 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 812-450-6815 Fax: 812-450-6822 |