Macoupin County Public Health Department
Doing business as Columbian Boulevard Dental Clinic
Federally qualified health center in Litchfield, IL, Medicare certification number 781947.
Medicare certification
Provider of Services- CCN
- 781947
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Nov 1, 2020
- Last certification
- Nov 1, 2020
- Address
- 125 W Columbian Blvd S
Litchfield, IL 62056
(217) 825-6705
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Columbian Boulevard Dental Clinic
- Federally Qualified Health Center (FQHC)
- Litchfield, IL
- NPI 1831798958
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.