Mendota Community Hospital | |
309 S Mccoy St Granville IL 61326-9333 | |
(815) 538-1352 | |
Not Available |
Full Name | Mendota Community Hospital |
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Speciality | Clinic/center - Rural Health |
Location | 309 S Mccoy St, Granville, Illinois |
Authorized Official Name and Position | Robert Carl Sehring (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3096557689 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mendota Community Hospital 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Mendota Community Hospital 309 S Mccoy St Granville IL 61326-9333 Ph: (815) 538-1352 |
NPI Number | 1225877590 |
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Provider Enumeration Date | 05/24/2024 |
Last Update Date | 05/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225877590 | NPI | - | NPPES |
999 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Margarets Health Granville Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 S Mccoy St, Granville, IL 61326 Phone: 815-339-6245 |