| Parrish Elementary School Health Center | |
|
121 N Parrish Ln Rm 123 Carbondale IL 62901-2024 | |
| (618) 519-9200 | |
| Not Available |
| Full Name | Parrish Elementary School Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 N Parrish Ln Rm 123, Carbondale, Illinois |
| Authorized Official Name and Position | Christina Carney (CEO) |
| Authorized Official Contact | 6189569521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parrish Elementary School Health Center 109 California St Po Box 577 Carterville IL 62918-0577 Ph: (618) 985-8221 | Parrish Elementary School Health Center 121 N Parrish Ln Rm 123 Carbondale IL 62901-2024 Ph: (618) 519-9200 |
| NPI Number | 1487111639 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 1658285671 |
|---|---|
| Medicare Enrollment ID | O20230509000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487111639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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