Foot Health Center Inc P C in Maryville - Foot & Ankle Surgery

Foot Health Center Inc P C - NPI 1912930793

Foot Health Center Inc P C is a Foot & Ankle Surgery in Maryville, Illinois. Foot Health Center Inc P C practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Foot Health Center Inc P C is 1912930793. The last update date is 2009-08-21.

Foot Health Center Inc P C's current location address is Po Box 340, Maryville, Illinois. You can contact this provider via phone number 6183444449 and fax number 6183444551. The mailing address for Foot Health Center Inc P C is Po Box 340, Maryville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Foot Health Center Inc P C
Address Po Box 340, Maryville, Illinois
Phone Number 6183444449
Fax Number 6183444551
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE ADM
Authorized Official Name Reagan M Gina
Telephone Number 6183444449

NPI Number Detail

NPI Number 1912930793
Provider Enumeration Date 2006-07-08
Last Updated Date 2009-08-21

Provider Mailing Address Detail

Address Po Box 340
City Maryville
State Illinois (IL)
Post Code 620620340
Phone Number 6183444449
Fax Number 6183444551

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 060-004872
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60101285 IL BC/BS GROUP#
CB0674 IL RAILROAD MEDICARE GROUP#

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FAQs about Foot Health Center Inc P C

What is the Foot Health Center Inc P C's unique identification number?

The Foot Health Center Inc P C has been assigned the NPI (National Provider Identifier) Number 1912930793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Foot Health Center Inc P C's facilities are situated?

The facilities of Foot Health Center Inc P C are physically located at the following address: Po Box 340, Maryville, IL, 620620340.

What is Foot Health Center Inc P C's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Foot Health Center Inc P C is Foot & Ankle Surgery, and the taxonomy code that classifies this field of practice is 213Es0103X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912930793 to Foot Health Center Inc P C?

The Centers for Medicare & Medicaid Services originally issued the 1912930793 to Foot Health Center Inc P C on 2006-07-08.

As of what date were the details related to Foot Health Center Inc P C most recently updated or revised?

The information pertaining to Foot Health Center Inc P C, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-21.

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