John Hall Md Rural Health Services in Mount Vernon - Rural Health
John Hall Md Rural Health Services - NPI 1871706374
John Hall Md Rural Health Services is a Rural Health in Mount Vernon, Illinois. John Hall Md Rural Health Services practices all healthcare services and medical treatments related to Rural Health. The NPI Number for John Hall Md Rural Health Services is 1871706374. The last update date is 2008-04-20.
John Hall Md Rural Health Services's current location address is 3505 Broadway St Ste A, Mount Vernon, Illinois. You can contact this provider via phone number 6182447788 and fax number 6182449330. The mailing address for John Hall Md Rural Health Services is 3505 Broadway St Ste A, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John Hall Md Rural Health Services |
|---|---|
| Address | 3505 Broadway St Ste A, Mount Vernon, Illinois |
| Phone Number | 6182447788 |
| Fax Number | 6182449330 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Lisenby D Cathy |
| Credentials | PA-C |
| Telephone Number | 6182447788 |
NPI Number Detail
| NPI Number | 1871706374 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 3505 Broadway St Ste A |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642202 |
| Phone Number | 6182447788 |
| Fax Number | 6182449330 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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What is the John Hall Md Rural Health Services's unique identification number?
The John Hall Md Rural Health Services has been assigned the NPI (National Provider Identifier) Number 1871706374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where John Hall Md Rural Health Services is physically located?
The John Hall Md Rural Health Services is physically situated at the following address: 3505 Broadway St Ste A, Mount Vernon, IL, 628642202.
What is John Hall Md Rural Health Services's area of expertise and its corresponding taxonomy classification?
The John Hall Md Rural Health Services's field of specialization is Rural Health, and it falls under the taxonomy code 261Qr1300X, which categorizes healthcare providers based on their areas of practice.
On what date did John Hall Md Rural Health Services receive its 1871706374 assignment from the Centers for Medicare & Medicaid Services?
The John Hall Md Rural Health Services was assigned its 1871706374 on 2007-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Hall Md Rural Health Services most recently updated?
The details pertaining to the John Hall Md Rural Health Services, including its address, specialty, and other relevant information, were last refreshed on 2008-04-20.
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