Organization · Type 2 NPI

Mid-Illinois Medical Care Associates, LLC

Rural Health Clinic/Center · Dieterich, IL

NPI number 1568619088 Active

Practice location

203 S. Main St.
Dieterich, IL 62424

Call (217) 925-5730 Map

Fax (217) 925-5736

Mailing address

1207 Network Centre Dr, Suite 3
Effingham, IL 62401-4632

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	036120332 (IL)

Rural Health Clinic/Center: Definition to come...

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NPI record

NPI: 1568619088
Entity type: Organization (Type 2)
Issued: Aug 27, 2008
Last updated: Jun 27, 2017
Status: Active
Subpart: Yes of Mid-Illinois Medical Care Associates, LLC

Other names

<unavail>
Dieterich Community Medical Center · doing business as

Authorized official

Dr. Eugene P. Dust, MD
President of Mid-Illinois Medical C
(217) 347-2707

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568619088

Mid-Illinois Medical Care Associates, LLC's National Provider Identifier is 1568619088, issued on Aug 27, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Dieterich, IL. The record was last updated on Jun 27, 2017.