institution
Madison Park Christian Church
Voluntary or Charitable Agency in Quincy, Illinois
NPI 1649453283

Madison Park Christian Church is a Voluntary or Charitable Agency based in Quincy, IL. Madison Park Christian Church practices in Quincy, IL. The NPI Number for Madison Park Christian Church is 1649453283 and holds a License No. (Illinois).

The current practice location address for Madison Park Christian Church is 4700 Broadway St, Quincy, IL and can be reached out via phone at 217-222-2529 and via fax at 217-222-2895.

Location: 4700 Broadway St, Quincy, IL, 62305-9112
institution
Provider Profile Details
NPI Number
1649453283
Provider Name
Madison Park Christian Church
Credential
Provider Entity Type
Organization
Address
4700 Broadway St, Quincy, IL, 62305-9112
Phone Number
217-222-2529
Fax Number
217-222-2895
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001320049 01 IL BLUE CROSS/BLUE SHIELD
344905000 01 IL MAGELLAN HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
4700 Broadway St
City
State
Zip
62305-9112
Phone Number
217-222-2529
Fax Number
217-222-2895
person
Provider Business Mailing Address Details
Address
4700 Broadway St
City
State
Zip
62305-9112
Phone Number
217-222-2529
Fax Number
217-222-2895
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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