NPI 1164756094

Midwest Care Fairfield

Organisation Point of Service Fairfield, IL

Practice location

Address: 315 Market Ave, Fairfield, IL 62837-2611
Phone: (618) 842-5875
Mailing address: 78 Centennial Loop, Eugene, OR 97401-7900

Authorised official

Name: Howard Kang
Title: Vp of Accounting and Finance
Phone: (541) 747-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Illinois →

Registry record

NPI: 1164756094
Entity type: Organization
NPI issued: 24 Sep 2009
Record last updated: 24 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.