| NPI | 1184340408 |
|---|---|
| Doing Business As | DEACONESS ILLINOIS RURAL HEALTH CLINIC ANNA |
| Entity Type | Organization |
| Authorized Contact | AMBER LIPE CFO 618-998-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-01-05 |