| Community Health & Emergency Services, Inc. | |
|
100 Market St Pulaski IL 62976 | |
| (618) 342-6767 | |
| (618) 342-6868 |
| Full Name | Community Health & Emergency Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 100 Market St, Pulaski, Illinois |
| Authorized Official Name and Position | Frederick L Bernstein (CEO) |
| Authorized Official Contact | 6184570450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health & Emergency Services, Inc. Po Box 3008 Carbondale IL 62902-3008 Ph: (618) 457-0450 | Community Health & Emergency Services, Inc. 100 Market St Pulaski IL 62976 Ph: (618) 342-6767 |
| NPI Number | 1063404523 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063404523 | NPI | - | NPPES |
| 1616948 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |