Organization
DAVID P DAVIS MEDICINE, PC
Active
Other names
Clark County Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PAUL DAVIS MD (OWNER)
(217) 382-4191
Entity
Organization
Contact information
Practice address
890 RIDGELAWN RD, MARTINSVILLE, IL 62442-0399
(217) 382-4191
(217) 382-4248
Mailing address
890 RIDGELAWN RD, PO BOX 399, MARTINSVILLE, IL 62442-0399
(217) 382-4191
(217) 382-4248
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
036086811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079566
ANTHEM
IN
01
—
0004400750
AETNA
IL
01
—
006686
HEALTH ALLIANCE
IL
01
—
01225376
BLUE CROSS BLUE SHIELD
IL
01
—
238297
HEALTHLINK
IL
05
—
316704395
—
IL
Enumeration date
06/01/2006
Last updated
04/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us