Frances Nelson Dental Center | |
819 Bloomington Rd Champaign IL 61820 | |
(217) 356-1558 | |
Not Available |
Full Name | Frances Nelson Dental Center |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 819 Bloomington Rd, Champaign, Illinois |
Authorized Official Name and Position | Nancy Greenwalt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2174035401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Frances Nelson Dental Center 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 356-1558 | Frances Nelson Dental Center 819 Bloomington Rd Champaign IL 61820 Ph: (217) 356-1558 |
NPI Number | 1407199391 |
---|---|
Provider Enumeration Date | 03/29/2013 |
Last Update Date | 05/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407199391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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