Iroquois Memorial Hospital And Resident Home

LBN: Iroquois Memorial Hospital And Resident Home
Iroquois Memorial Hospital And Resident Home is an health care organization with primary practice located at 200 E Fairman Ave , Watseka IL 60970-1644. The organization recently has 5 registered licenses in different health care specialties including Hospitals / Critical Access, Hospitals / Rural, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Hospitals / Critical Access is the primary health care specialty. Iroquois Memorial Hospital And Resident Home can be contacted via phone (815) 432-5841, or through Fox, Michelle via phone (815) 432-7775.

Contact Information

Primary practice address
200 E Fairman Ave Watseka IL 60970-1644
Phone: (815) 432-5841
Fax: (815) 432-7821
Website:
Map and Directions
Authorized official contact:
Name: Fox, Michelle
Phone: (815) 432-7775

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X
Hospitals / Rural 282NR1301X 0001107 Illinois
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1629003470
LBN Legal business name Iroquois Memorial Hospital And Resident Home
DBA Doing business as
Authorized official Fox, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 10th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629003470 NPPES
Illinois Other 004126 HEALTH ALLIANCE
Illinois MEDICAID 100037080A HEALTH ALLIANCE
Illinois Other 150 HEALTH ALLIANCE
Illinois MEDICAID 200262610A HEALTH ALLIANCE
Illinois MEDICAID 88916 HEALTH ALLIANCE
Illinois MEDICAID N198101 HEALTH ALLIANCE
Illinois Other 003815082 HEALTH ALLIANCE

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