| Centegra Hospital Woodstock | |
|
527 W South St Woodstock IL 60098-3756 | |
| (815) 338-2500 | |
| (815) 334-3948 |
| Full Name | Centegra Hospital Woodstock |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 527 W South St, Woodstock, Illinois |
| Authorized Official Name and Position | David Tomlinson (CIO & CFO) |
| Authorized Official Contact | 8157885831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centegra Hospital Woodstock 527 W South St Woodstock IL 60098-3756 Ph: (815) 338-2500 | Centegra Hospital Woodstock 527 W South St Woodstock IL 60098-3756 Ph: (815) 338-2500 |
| NPI Number | 1427065499 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 03/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427065499 | NPI | - | NPPES |
| 79 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0001503 (Illinois) | Primary |
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