Organization
SPRINFIELD CLINIC LLP
Active
Other names
Springfield Clinic Mt Pulaski Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY BRYANT (CEO)
(217) 528-7541
Entity
Organization
Contact information
Practice address
509 E CHESTNUT ST, MOUNT PULASKI, IL 62548-1008
(217) 792-3756
Mailing address
1025 S 7TH ST, SPRINGFIELD, IL 62703-2416
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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