Pana Community Hospital Association
Family Medicine in Assumption, IL. Organization (NPI-2).
NPI number1396106910
StatusActive
Last updated in NPPESMar 9, 2016
Details
- NPI
- 1396106910
- Entity type
- Organization (NPI-2)
- Legal business name
- Pana Community Hospital Association
- Organization subpart
- Yes
- Enumeration date
- Mar 9, 2016
- Last updated
- Mar 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Community Medical Clinic Of Assumption (Doing Business As)
Practice location
118 N. WalnutAssumption, IL 62510-1082
Phone 217-226-3133 · Fax 217-226-4311
Mailing address
118 N. WalnutAssumption, IL 62510-1082
Phone 217-226-3133 · Fax 217-226-4311
Authorized official
Lisa Bloemer
Practice Manager
2175626246
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