Wabash Memorial Hospital Association | |
1501 N Water St Decatur IL 62526-4441 | |
(217) 425-9642 | |
(217) 542-0134 |
Full Name | Wabash Memorial Hospital Association |
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Speciality | Clinic/center |
Location | 1501 N Water St, Decatur, Illinois |
Authorized Official Name and Position | Venita Edwards-talley (CLINIC PHYSICIAN) |
Authorized Official Contact | 2174259642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wabash Memorial Hospital Association 1501 N Water St Po Box 1340 Decatur IL 62526-4441 Ph: (217) 425-9642 | Wabash Memorial Hospital Association 1501 N Water St Decatur IL 62526-4441 Ph: (217) 425-9642 |
NPI Number | 1497807689 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 05/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497807689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 36117078 (Illinois) | Primary |
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