Organization Name: | HARRISBURG MEDICAL CENTER INC |
NPI Number: | 1073646436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY D SMITH (PRESIDENT/CEO) |
Mailing Address: | 1007 Us Route 45 Eldorado |
State: | IL US |
Postal Code: | 629300250 |
Phone Number: | 6182737723 |
Fax Number: | 6182733384 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 0000521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |