institution
Penny Attaway
Rural Health Clinic/Center in Vandalia, Illinois
NPI 1528185170

Penny Attaway is a Rural Health Clinic/Center based in Vandalia, IL and is specialized in Rural Health. Penny Attaway practices in Vandalia, IL. The NPI Number for Penny Attaway is 1528185170 and holds a License No. 209001693 (Illinois).

The current practice location address for Penny Attaway is 1404 N 5Th St, Vandalia, IL and can be reached out via phone at 618-283-2000 and via fax at 618-283-2002.

Location: 1404 N 5Th St, Vandalia, IL, 62471-1039
institution
Provider Profile Details
NPI Number
1528185170
Provider Name
Penny Attaway
Credential
Provider Entity Type
Organization
Address
1404 N 5Th St, Vandalia, IL, 62471-1039
Phone Number
618-283-2000
Fax Number
618-283-2002
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L040233 01 IL TRICARE
institution
Provider Business Practice Location Address Details
Address
1404 N 5Th St
City
State
Zip
62471-1039
Phone Number
618-283-2000
Fax Number
618-283-2002
person
Provider Business Mailing Address Details
Address
1404 N 5Th St
City
State
Zip
62471-1039
Phone Number
618-283-2000
Fax Number
618-283-2002
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
209001693 (Illinois)
Definition
Definition to come...
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