| Decatur Memorial Hospital | |
|
2300 N Edward St Decatur IL 62526-4163 | |
| (217) 876-2690 | |
| Not Available |
| Full Name | Decatur Memorial Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 2300 N Edward St, Decatur, Illinois |
| Authorized Official Name and Position | James E Martinez (ATHLETIC TRAINER) |
| Authorized Official Contact | 2173582805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Memorial Hospital 2230 W Ravina Park Rd Decatur IL 62526-3047 Ph: (217) 358-2805 | Decatur Memorial Hospital 2300 N Edward St Decatur IL 62526-4163 Ph: (217) 876-2690 |
| NPI Number | 1639134117 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639134117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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