# NORRIS CITY HEALTHCARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033244009
- **Authorized official:** DR. HUNG T NGUYEN M.D., FAAFP (DOCTOR)
- **Authorized official phone:** (618) 378-3440

## Contact information

- **Practice address:** 110 A EAST MAIN STREET, NORRIS CITY, IL 62869-1503
- **Practice address phone:** (618) 378-3440
- **Practice address fax:** (618) 378-3562
- **Mailing address:** PO BOX 464, NORRIS CITY, IL 62869-0464
- **Mailing address phone:** (618) 378-3440
- **Mailing address fax:** (618) 378-3562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036085969 | IL | — |
| 261QR1300X | Rural Health Clinic/Center | 036085969 | IL | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 06/16/2008