Mendota Community Hospital | |
1436 Midtown Rd Peru IL 61354-1271 | |
(815) 538-1355 | |
Not Available |
Full Name | Mendota Community Hospital |
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Speciality | Clinic/center - Rural Health |
Location | 1436 Midtown Rd, Peru, 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 1436 Midtown Rd Peru IL 61354-1271 Ph: (815) 538-1355 |
NPI Number | 1376391888 |
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Provider Enumeration Date | 05/09/2024 |
Last Update Date | 05/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376391888 | NPI | - | NPPES |
999 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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