| Med Contract, Inc. | |
|
113 W Main Ridgway IL 62978 | |
| (618) 272-3300 | |
| (618) 272-3700 |
| Full Name | Med Contract, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 113 W Main, Ridgway, Illinois |
| Authorized Official Name and Position | Jamie Peterson (PRESIDENT) |
| Authorized Official Contact | 6182732100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Contract, Inc. 113 Main Street P O Box 548 Ridgway IL 62979-0548 Ph: (618) 272-3300 | Med Contract, Inc. 113 W Main Ridgway IL 62978 Ph: (618) 272-3300 |
| NPI Number | 1356535397 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356535397 | NPI | - | NPPES |
| 0361037154 | Medicaid | IL | |
| K05588 | Other | IL | MEDICARE ID-TYPE UNSPECIF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |