| Priority Integrated Healthcare PC | |
|
1306 N Atchison Ave Ste B Marion IL 62959-5426 | |
| (618) 988-6000 | |
| (618) 942-7111 |
| Full Name | Priority Integrated Healthcare PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1306 N Atchison Ave Ste B, Marion, Illinois |
| Authorized Official Name and Position | Jeffrey Lange (OWNER) |
| Authorized Official Contact | 6189886000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Integrated Healthcare PC 1306 N Atchison Ave Ste B Marion IL 62959-5426 Ph: (618) 988-6000 | Priority Integrated Healthcare PC 1306 N Atchison Ave Ste B Marion IL 62959-5426 Ph: (618) 988-6000 |
| NPI Number | 1780345041 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 05/11/2026 |
| Certification Date | 05/11/2026 |
| Medicare PECOS PAC ID | 3779948245 |
|---|---|
| Medicare Enrollment ID | O20230505001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780345041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Shoshana B Church |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548261449 PECOS PAC ID: 5991694515 Enrollment ID: I20040312000139 |
| Provider Name | Jeffrey Don Lange |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730197708 PECOS PAC ID: 9931106002 Enrollment ID: I20061102000274 |
| Provider Name | Rebecca K Edmondson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891136313 PECOS PAC ID: 7416199005 Enrollment ID: I20130812000092 |
| Provider Name | Elizabeth Peyton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386287258 PECOS PAC ID: 8123011079 Enrollment ID: I20260519000704 |
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