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Organization

JOHN HALL MD RURAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHY D LISENBY PA-C (OFFICE MANAGER)
(618) 244-7788
Entity
Organization

Contact information

Practice address
3505 BROADWAY ST STE A, MOUNT VERNON, IL 62864-2202
(618) 244-7788
(618) 244-9330
Mailing address
3505 BROADWAY ST STE A, MOUNT VERNON, IL 62864-2202
(618) 244-7788
(618) 244-9330

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
IL

Other

Enumeration date
05/08/2007
Last updated
04/20/2008
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