| Tri-state Medical Group Inc | |
|
345 Polk St Warsaw IL 62379-1033 | |
| (217) 256-3013 | |
| (319) 753-2301 |
| Full Name | Tri-state Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 345 Polk St, Warsaw, Illinois |
| Authorized Official Name and Position | April K Schnedler (LEAD BILLING COORDINATOR) |
| Authorized Official Contact | 3197685809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Medical Group Inc 1706 West Agency Road West Burlington IA 52655 Ph: (319) 768-5858 | Tri-state Medical Group Inc 345 Polk St Warsaw IL 62379-1033 Ph: (217) 256-3013 |
| NPI Number | 1295705622 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295705622 | NPI | - | NPPES |
| 506089424 | Medicaid | MO | |
| 3422957 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0563882 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Blessing Health Hamilton-warsaw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 N County Road 700, Warsaw, IL 62379 Phone: 217-256-4100 Fax: 217-256-3800 | |
Hamilton Warsaw Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 N County Road 700, Warsaw, IL 62379 Phone: 217-256-4100 Fax: 217-256-3800 |