Burnsides Community Health Center
Skilled Nursing Facility in Marshall, IL. Organization (NPI-2).
NPI number1881720175
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1881720175
- Entity type
- Organization (NPI-2)
- Legal business name
- Burnsides Community Health Center
- Organization subpart
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
410 N 2nd StMarshall, IL 62441-1010
Phone 217-826-2358 · Fax 217-826-2367
Mailing address
410 N 2nd StPo Box 219
Marshall, IL 62441-1010
Phone 217-826-2358 · Fax 217-826-2367
Authorized official
Sean Medsker
Administrator
2178262358
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