Organization
SOLVERA HEALTHCARE CENTER INC
Active
Parent organization
SOLVERA HEALTHCARE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLVERA HEALTHCARE CENTER INC
Authorized official
PATRICK CAPLIS (CEO)
(309) 886-9172
Entity
Organization
Contact information
Practice address
2250 REED STATION PKWY STE 305, CARBONDALE, IL 62901-8104
(618) 457-4999
Mailing address
PO BOX 9727, PEORIA, IL 61612-9727
(309) 886-9172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/21/2023
Last updated
07/25/2024
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