Physician Rural Health Clinic Of Jefferson County in Mount Vernon - Rural Health
Physician Rural Health Clinic Of Jefferson County - NPI 1649283870
Physician Rural Health Clinic Of Jefferson County is a Rural Health in Mount Vernon, Illinois. Physician Rural Health Clinic Of Jefferson County practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Physician Rural Health Clinic Of Jefferson County is 1649283870. The last update date is 2008-10-15.
Physician Rural Health Clinic Of Jefferson County's current location address is 3307 Broadway St, Mount Vernon, Illinois. You can contact this provider via phone number 6182442560 and fax number 6182441572. The mailing address for Physician Rural Health Clinic Of Jefferson County is 3307 Broadway St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Physician Rural Health Clinic Of Jefferson County |
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Address | 3307 Broadway St, Mount Vernon, Illinois |
Phone Number | 6182442560 |
Fax Number | 6182441572 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Gupta K Veena |
Credentials | M.D. |
Telephone Number | 6182447200 |
NPI Number Detail
NPI Number | 1649283870 |
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Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2008-10-15 |
Provider Mailing Address Detail
Address | 3307 Broadway St |
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City | Mount Vernon |
State | Illinois (IL) |
Post Code | 628642347 |
Phone Number | 6182442560 |
Fax Number | 6182441572 |
Provider's Primary Taxonomy Detail
Speciality | Rural Health |
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Taxonomy | 261Qr1300X |
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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What is the unique provider identifier assigned to Physician Rural Health Clinic Of Jefferson County?
The Physician Rural Health Clinic Of Jefferson County has been issued the NPI (National Provider Identifier) 1649283870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Physician Rural Health Clinic Of Jefferson County's facilities are situated?
The facilities of Physician Rural Health Clinic Of Jefferson County are physically located at the following address: 3307 Broadway St, Mount Vernon, IL, 628642347.
What is Physician Rural Health Clinic Of Jefferson County's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Physician Rural Health Clinic Of Jefferson County is Rural Health, and the taxonomy code that classifies this field of practice is 261Qr1300X.
When did Physician Rural Health Clinic Of Jefferson County receive its 1649283870 assignment?
The Physician Rural Health Clinic Of Jefferson County was assigned its 1649283870 on 2006-08-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Physician Rural Health Clinic Of Jefferson County most recently updated?
The details pertaining to the Physician Rural Health Clinic Of Jefferson County, including its address, specialty, and other relevant information, were last refreshed on 2008-10-15.