Organization
JOHNSTON CITY MEDICAL CLINIC, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID JAVED M.D. (ADMINISTRATOR)
(618) 983-6911
Entity
Organization
Contact information
Practice address
201 W BROADWAY BLVD, JOHNSTON CITY, IL 62951-1427
(618) 983-6911
(618) 983-6913
Mailing address
201 W BROADWAY BLVD, P. O. BOX 209, JOHNSTON CITY, IL 62951-1427
(618) 983-6911
(618) 983-6913
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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