Organization
COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Active
Organization
COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Active
Other names
Hardin County Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK L BERNSTEIN (CEO)
(618) 457-0450
Entity
Organization
Contact information
Practice address
IL ROUTE 146 BLDG 2, ELIZABETHTOWN, IL 62931
(618) 285-6191
(618) 285-6833
Mailing address
PO BOX 3008, CARBONDALE, IL 62902-3008
(618) 457-0450
(618) 457-7329
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616948
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/18/2005
Last updated
09/01/2010
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