| St Mary Medical Center | |
|
100 N Monroe St Abingdon IL 61410-1457 | |
| (309) 462-2342 | |
| (309) 655-4878 |
| Full Name | St Mary Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Monroe St, Abingdon, Illinois |
| Authorized Official Name and Position | Robert C. Sehring (CEO, OSF HEALTHCARE SYSTEM) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mary Medical Center 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | St Mary Medical Center 100 N Monroe St Abingdon IL 61410-1457 Ph: (309) 462-2342 |
| NPI Number | 1750006110 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 8628038015 |
|---|---|
| Medicare Enrollment ID | O20221114000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750006110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Mary Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Monroe St, Abingdon, IL 61410 Phone: 309-462-2343 |