Organization
CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.
Active
Parent organization
CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.
Authorized official
DR. DOMINIC CHARLES IMBURGIA M.D. (PRESIDENT)
(217) 347-2900
Entity
Organization
Contact information
Practice address
901 N MAPLE ST, EFFINGHAM, IL 62401-6401
(217) 347-2900
(217) 347-2922
Mailing address
901 N MAPLE ST, EFFINGHAM, IL 62401-6401
(217) 347-2900
(217) 347-2922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08726591
BCBS
IL
Enumeration date
06/25/2006
Last updated
08/14/2007
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