| Memorial Medical Augusta Clinic | |
|
204 Center St Augusta IL 62311-1228 | |
| (217) 392-2108 | |
| (217) 392-2110 |
| Full Name | Memorial Medical Augusta Clinic |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 204 Center St, Augusta, Illinois |
| Authorized Official Name and Position | Jessie Fifer (SPECIAL PROJECTS COORDINATOR) |
| Authorized Official Contact | 2173576594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Augusta Clinic Po Box 160 Carthage IL 62321-0160 Ph: (217) 357-6512 | Memorial Medical Augusta Clinic 204 Center St Augusta IL 62311-1228 Ph: (217) 392-2108 |
| NPI Number | 1275979031 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 05/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275979031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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