| Graham Hospital Association | |
|
601 E Fort St Farmington IL 61531-1338 | |
| (309) 245-2406 | |
| (309) 245-2428 |
| Full Name | Graham Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 E Fort St, Farmington, 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 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 | Graham Hospital Association 601 E Fort St Farmington IL 61531-1338 Ph: (309) 245-2406 |
| NPI Number | 1841436268 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 2769375021 |
|---|---|
| Medicare Enrollment ID | O20080812000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841436268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |