| Mendota Community Hospital | |
|
309 S Mccoy St Granville IL 61326-9333 | |
| (815) 538-1352 | |
| Not Available |
| Full Name | Mendota Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 309 S Mccoy St, Granville, Illinois |
| Authorized Official Name and Position | Robert Carl Sehring (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3096557689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendota Community Hospital 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Mendota Community Hospital 309 S Mccoy St Granville IL 61326-9333 Ph: (815) 538-1352 |
| NPI Number | 1225877590 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/24/2024 |
| Medicare PECOS PAC ID | 2264335777 |
|---|---|
| Medicare Enrollment ID | O20240801003877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225877590 | NPI | - | NPPES |
| 999 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Margaret's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 S Mccoy St, Granville, IL 61326 Phone: 815-339-6245 |