| Tricounty Community Health Center | |
|
21193 Malta Rd Malta IL 60150-9600 | |
| (815) 753-9010 | |
| (815) 753-9018 |
| Full Name | Tricounty Community Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 21193 Malta Rd, Malta, Illinois |
| Authorized Official Name and Position | Mary Pritchard (INTERIM DEAN) |
| Authorized Official Contact | 8157536155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricounty Community Health Center 21193 Malta Rd Malta IL 60150-9600 Ph: (815) 753-9010 | Tricounty Community Health Center 21193 Malta Rd Malta IL 60150-9600 Ph: (815) 753-9010 |
| NPI Number | 1225218365 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 04/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225218365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Center For Family Health - Malta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21193 Malta Rd, Malta, IL 60150 Phone: 815-752-3253 |