Organization Name: | MENDOTA COMMUNITY HOSPITAL |
NPI Number: | 1922024843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN E KLEIN (CEO) |
Mailing Address: | 1401 East 12th Street Mendota |
State: | IL US |
Postal Code: | 613429216 |
Phone Number: | 8155397461 |
Fax Number: | 8155385516 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 275N00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |