Organization · Type 2 NPI
Penny Attaway
Rural Health Clinic/Center · Fairfield, IL
NPI number
1184741175
Active
Practice location
1411 W Main St, Westport Plaza
Fairfield, IL 62837-2300
Fax (618) 842-4576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 209001693 (IL) |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in Fairfield
About NPI 1184741175
Penny Attaway's National Provider Identifier is 1184741175, issued on Mar 23, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fairfield, IL. The record was last updated on Jan 19, 2009.