| Solvera Healthcare Center Inc | |
|
256 S Soangetaha Rd Galesburg IL 61401-5586 | |
| (309) 233-2836 | |
| Not Available |
| Full Name | Solvera Healthcare Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 256 S Soangetaha Rd, Galesburg, Illinois |
| Authorized Official Name and Position | Patrick Caplis (CEO) |
| Authorized Official Contact | 3098869172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solvera Healthcare Center Inc Po Box 9727 Peoria IL 61612-9727 Ph: () - | Solvera Healthcare Center Inc 256 S Soangetaha Rd Galesburg IL 61401-5586 Ph: (309) 233-2836 |
| NPI Number | 1760113104 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 4981007226 |
|---|---|
| Medicare Enrollment ID | O20220711002297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760113104 | NPI | - | NPPES |
| Provider Name | Richard F Schock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326010265 PECOS PAC ID: 5890683981 Enrollment ID: I20040309001414 |
| Provider Name | George C Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215021100 PECOS PAC ID: 0840219473 Enrollment ID: I20051121000094 |
| Provider Name | Julio A Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144216185 PECOS PAC ID: 1456366111 Enrollment ID: I20060216000256 |
| Provider Name | Samuel D Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881891240 PECOS PAC ID: 9133390669 Enrollment ID: I20110914000157 |
| Provider Name | Kari Endres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326455908 PECOS PAC ID: 9739542523 Enrollment ID: I20230825003540 |
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