| Graham Hospital Association | |
|
210 W Walnut St Canton IL 61520-2497 | |
| (309) 647-5240 | |
| Not Available |
| Full Name | Graham Hospital Association |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 210 W Walnut St, Canton, Illinois |
| Authorized Official Name and Position | Julie Reeder (VP OF FINANCE/CFO) |
| Authorized Official Contact | 3096475240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Hospital Association 210 W Walnut St Canton IL 61520-2444 Ph: (309) 647-5240 | Graham Hospital Association 210 W Walnut St Canton IL 61520-2497 Ph: (309) 647-5240 |
| NPI Number | 1780692087 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 12/12/2025 |
| Medicare PECOS PAC ID | 2769375021 |
|---|---|
| Medicare Enrollment ID | O20040203000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780692087 | NPI | - | NPPES |
| 0000869 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282NR1301X | General Acute Care Hospital - Rural | (* (Not Available)) | Primary |
| Provider Name | Angela J Holthaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346319001 PECOS PAC ID: 1456459452 Enrollment ID: I20070614000027 |
| Provider Name | Dustin W Kern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750517488 PECOS PAC ID: 0547311615 Enrollment ID: I20090701000052 |
| Provider Name | Troy M Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588890214 PECOS PAC ID: 4981755055 Enrollment ID: I20090701000064 |
| Provider Name | Laurie J Mcatee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427360809 PECOS PAC ID: 8628267226 Enrollment ID: I20110113000343 |
| Provider Name | Shawn Michael Wynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750749826 PECOS PAC ID: 4385940634 Enrollment ID: I20160311001665 |
| Provider Name | Ryan S Deushane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124482252 PECOS PAC ID: 0345531497 Enrollment ID: I20160620001938 |
Graham Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 N 5th Ave, Canton, IL 61520 Phone: 309-647-0201 | |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N 5th Ave, Canton, IL 61520 Phone: 309-647-0201 | |
Graham Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-5302 | |
Fulton County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 East Oak Street, Canton, IL 61520 Phone: 309-647-1134 Fax: 309-647-9545 | |
Spoon River Family Practice Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 E Side Sq, Suite 102, Canton, IL 61520 Phone: 309-647-9980 Fax: 309-647-7792 | |
Graham Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-0201 |