Macoupin Family Practice Centers LLP
Doing business as Mt Olive Family Practice Center
Rural health clinic in Mount Olive, IL, Medicare certification number 143863.
Medicare certification
Provider of Services- CCN
- 143863
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1C
- Participating since
- Feb 7, 1994
- Last certification
- May 8, 2026
- Most recent change of ownership
- Feb 1, 1998 (1 total)
- Address
- 115 N Poplar
Mount Olive, IL 62069
(217) 999-4157
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Mt Olive Family Practice Center
- Rural Health Clinic/Center
- Mount Olive, IL
- NPI 1881894533
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.