| Galesburg Cottage Hospital | |
|
695 N Kellogg St Galesburg IL 61401-2807 | |
| (309) 343-8131 | |
| (309) 343-2393 |
| Full Name | Galesburg Cottage Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 695 N Kellogg St, Galesburg, Illinois |
| Authorized Official Name and Position | Tara P Richardson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6152213672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galesburg Cottage Hospital Po Box 504047 Saint Louis MO 63150-4047 Ph: () - | Galesburg Cottage Hospital 695 N Kellogg St Galesburg IL 61401-2807 Ph: (309) 343-8131 |
| NPI Number | 1700805660 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/26/2016 |
| Medicare PECOS PAC ID | 0749271310 |
|---|---|
| Medicare Enrollment ID | O20090119000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700805660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0005330 (Illinois) | Primary |
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