Organization
PANA COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Community Medical Clinic of Nokomis
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA MARIE BLOEMER (PRACTICE MANAGER)
(217) 562-6246
Entity
Organization
Contact information
Practice address
120 S CEDAR ST, NOKOMIS, IL 62075-1647
(217) 563-8363
(217) 563-8373
Mailing address
101 E 9TH ST, PANA, IL 62557-1716
(217) 562-6246
(217) 562-6228
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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