| Hammond Henry Hospital Medical Group | |
|
1258 W South St Ste 2 Kewanee IL 61443-8300 | |
| (309) 853-3677 | |
| Not Available |
| Full Name | Hammond Henry Hospital Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1258 W South St Ste 2, Kewanee, Illinois |
| Authorized Official Name and Position | Rhonda Rice (PFS MANAGER) |
| Authorized Official Contact | 3099449122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Henry Hospital Medical Group 600 N College Ave Geneseo IL 61254-1091 Ph: (309) 944-6431 | Hammond Henry Hospital Medical Group 1258 W South St Ste 2 Kewanee IL 61443-8300 Ph: (309) 853-3677 |
| NPI Number | 1629517313 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 0143115949 |
|---|---|
| Medicare Enrollment ID | O20170508001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629517313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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