Organization
RANCHERO CLINIC, LLC
Active
Other names
Ranchero Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNIE C RANCHERO MD (OWNER-PRESIDENT)
(447) 219-1163
Entity
Organization
Contact information
Practice address
825 18TH ST STE 238, CHARLESTON, IL 61920-2940
(447) 219-1594
(408) 715-5734
Mailing address
825 18TH ST STE 238, CHARLESTON, IL 61920-2940
(447) 219-1163
(408) 715-5734
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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