| Organization Name: | MASON DISTRICT HOSPITAL |
| NPI Number: | 1740514975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARRY WOLIN (CEO) |
| Mailing Address: | 615 N Promenade St Havana |
| State: | IL US |
| Postal Code: | 626441243 |
| Phone Number: | 3095438578 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 09/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 056008421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |