Organization · Type 2 NPI
Southside Medical Clinic Inc
Rural Health Clinic/Center · Mount Vernon, IL
NPI number
1497823314
Active
Practice location
913 South 10th Street
Mount Vernon, IL 62864-5313
Fax (618) 242-2766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 001 (IL) |
Rural Health Clinic/Center: Definition to come...
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About NPI 1497823314
Southside Medical Clinic Inc's National Provider Identifier is 1497823314, issued on Nov 30, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 21, 2022.