Organization · Type 2 NPI

Wilkinson Fountains Lease Co LLC

Point of Service · Troy, IL

NPI number 1356546212 Active

Practice location

39 Dorothy Dr
Troy, IL 62294-1389

Call (618) 667-1342 Map

Fax (618) 607-5031

Mailing address

78 Centennial Loop
Eugene, OR 97401-7900

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

6 other providers at this address

About NPI 1356546212

Wilkinson Fountains Lease Co LLC's National Provider Identifier is 1356546212, issued on Jun 19, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Troy, IL. The record was last updated on Jun 19, 2008.