Organization Name: | HOOPESTON COMMUNITY MEMORIAL HOSPITAL |
NPI Number: | 1467549402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY BROCKUS (CEO) |
Mailing Address: | 1490 E Walnut St Suite C Watseka |
State: | IL US |
Postal Code: | 609701806 |
Phone Number: | 8154328200 |
Fax Number: | 8154328201 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 0004200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |