| Graham Hospital Association | |
|
1800 23rd Ave Avon IL 61415-9126 | |
| (309) 647-0201 | |
| (309) 647-8613 |
| Full Name | Graham Hospital Association |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1800 23rd Ave, Avon, Illinois |
| Authorized Official Name and Position | Julie Reeder (VP OF FINANCE/ CFO) |
| Authorized Official Contact | 3096475240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Hospital Association 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 | Graham Hospital Association 1800 23rd Ave Avon IL 61415-9126 Ph: (309) 647-0201 |
| NPI Number | 1568005981 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568005981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |