# COWDEN MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1356410781
- **Authorized official:** MRS. CINDY LEA RICH APN CNP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (217) 783-6565

## Contact information

- **Practice address:** 209 E ELM STREET, COWDEN, IL 62422
- **Practice address phone:** (217) 783-6565
- **Practice address fax:** (217) 783-6577
- **Mailing address:** 209 E ELM STREET, PO BOX 154, COWDEN, IL 62422
- **Mailing address phone:** (217) 783-6565
- **Mailing address fax:** (217) 783-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 209-003495 | IL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 01/20/2022