| Oe 520 Health Center | |
|
1472 N Green Mount Rd O Fallon IL 62269-3416 | |
| (730) 240-8040 | |
| Not Available |
| Full Name | Oe 520 Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1472 N Green Mount Rd, O Fallon, Illinois |
| Authorized Official Name and Position | Mark Allen Kemble (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8646408355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oe 520 Health Center 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Oe 520 Health Center 1472 N Green Mount Rd O Fallon IL 62269-3416 Ph: (730) 240-8040 |
| NPI Number | 1881488773 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 08/31/2026 |
| Certification Date | 08/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881488773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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