Organization Name: | KEWANEE HOSPITAL |
NPI Number: | 1578659009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE BERRY (BUSINESS OFFICE MANAGER) |
Mailing Address: | 1051 W South St Kewanee |
State: | IL US |
Postal Code: | 614438354 |
Phone Number: | 3098527900 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |