| Springfield Clinic Llp | |
|
620 N Putnam St Ste A Moweaqua IL 62550-9489 | |
| (217) 768-3884 | |
| Not Available |
| Full Name | Springfield Clinic Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 620 N Putnam St Ste A, Moweaqua, Illinois |
| Authorized Official Name and Position | Christopher Michael Cousins (VP) |
| Authorized Official Contact | 2173917100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic Llp Po Box 19248 Springfield IL 62794-9248 Ph: (217) 528-7541 | Springfield Clinic Llp 620 N Putnam St Ste A Moweaqua IL 62550-9489 Ph: (217) 768-3884 |
| NPI Number | 1548928211 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 12/01/2021 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20220120002097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548928211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Moweaqua Family Practice Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 N Putnam St, Moweaqua, IL 62550 Phone: 217-768-3884 Fax: 217-768-3811 |