# REGINALD L VERNIER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brush Creek Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760660567
- **Authorized official:** DR. REGINALD L VERNIER (OWNER)
- **Authorized official phone:** (618) 783-8713

## Contact information

- **Practice address:** 500 S SCOTT AVE, NEWTON, IL 62448-1665
- **Practice address phone:** (618) 783-8713
- **Practice address fax:** (618) 783-4170
- **Mailing address:** 500 S SCOTT AVE, NEWTON, IL 62448-1665
- **Mailing address phone:** (618) 783-8713
- **Mailing address fax:** (618) 783-4170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 036082451 | IL | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 07/29/2008
