| Mendota Community Hospital | |
|
790 W Walnut St Oglesby IL 61348-1424 | |
| (815) 221-1330 | |
| Not Available |
| Full Name | Mendota Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 790 W Walnut St, Oglesby, 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 790 W Walnut St Oglesby IL 61348-1424 Ph: (815) 221-1330 |
| NPI Number | 1952159469 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 2264335777 |
|---|---|
| Medicare Enrollment ID | O20240801003481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952159469 | NPI | - | NPPES |
| 999 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Margaret's Health-peru Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N Orlando Smith St, Oglesby, IL 61348 Phone: 815-224-0896 | |
St. Margaret's Health-peru Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Walnut St, Oglesby, IL 61348 Phone: 815-883-3588 Fax: 815-883-3604 | |
St. Margaret's Health-peru Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Walnut St, Oglesby, IL 61348 Phone: 815-883-3588 Fax: 815-883-3604 |