Organization
HARRISBURG MEDICAL CENTER INC
Active
Parent organization
HARRISBURG MEDICAL CENTER INC
Other names
Eldorado Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRISBURG MEDICAL CENTER INC
Authorized official
MR. RODNEY D SMITH (PRESIDENT/CEO)
(618) 253-7671
Entity
Organization
Contact information
Practice address
1007 US ROUTE 45, ELDORADO, IL 62930
(618) 273-7723
(618) 273-3384
Mailing address
PO BOX 250, ELDORADO, IL 62930-0250
(618) 273-7723
(618) 273-3384
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000521
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143471
HEALTHLINK
IL
01
—
817400
WPS PROVIDER NUMBER
IL
01
—
8315011
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
03/08/2006
Last updated
10/15/2012
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