Central Alton Health Center - Medicare Primary Care in Alton, IL

Central Alton Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Alton, Illinois. The current practice location for Central Alton Health Center is 2615 Edwards St, Alton, Illinois. For appointments, you can reach them via phone at (618) 462-4342. The mailing address for Central Alton Health Center is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 332-0953.

Central Alton Health Center is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1235430323. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 462-4342.

Contact Information

Central Alton Health Center
2615 Edwards St
Alton
IL 62002-3915
(618) 462-4342
(618) 462-5334

Primary Care Clinic Profile

Full NameCentral Alton Health Center
SpecialityClinic/Center
Location2615 Edwards St, Alton, Illinois
Authorized Official Name and PositionLarry Mcculley (CEO)
Authorized Official Contact6183320694
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Alton Health Center
2041 Goose Lake Rd
Sauget
IL 62206-2822

Ph: (618) 332-0953
Central Alton Health Center
2615 Edwards St
Alton
IL 62002-3915

Ph: (618) 462-4342

NPI Details:

NPI Number1235430323
Provider Enumeration Date11/05/2010
Last Update Date08/02/2011

Medicare PECOS Information:

Medicare PECOS PAC ID1456256874
Medicare Enrollment IDO20110311000451

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Medical Identifiers

Medical identifiers for Central Alton Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235430323NPI-NPPES
141142OtherILMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Illinois)Primary

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Clinic/Center in Alton, IL

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Medicare: Not Enrolled in Medicare
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Phone: 618-466-6177    Fax: 618-466-6388
Cep America - Illinois Snf, Llp
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Medicare: Not Enrolled in Medicare
Practice Location: 3490 Humbert Rd, Alton, IL 62002
Phone: 618-465-2626    

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