| Rural Health, Inc. | |
|
803 N 1st St Vienna IL 62995 | |
| (618) 658-2811 | |
| (618) 658-2439 |
| Full Name | Rural Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 803 N 1st St, Vienna, Illinois |
| Authorized Official Name and Position | Cynthia K Flamm (CEO) |
| Authorized Official Contact | 6188334471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health, Inc. 513 N Main St Anna IL 62906-1668 Ph: (618) 833-4471 | Rural Health, Inc. 803 N 1st St Vienna IL 62995 Ph: (618) 658-2811 |
| NPI Number | 1932263332 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 6800705427 |
|---|---|
| Medicare Enrollment ID | O20080212000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932263332 | NPI | - | NPPES |
| 9115004 | Other | IL | BLUE CROSS BLUE SHIELD |
| 055761 | Other | IL | HEALTH ALLIANCE |
| 111760 | Other | IL | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |