MCDONOUGH COUNTY HOSPITAL DISTRICT NPI 1235755372

NPI Information

NPI: 1235755372
Provider Name: MCDONOUGH COUNTY HOSPITAL DISTRICT
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D2061125

Address:
515 E GRANT ST STE 213
MACOMB, IL
ZIP 61455
Phone: (309) 837-6937
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MCDONOUGH COUNTY HOSPITAL DISTRICT is a rural health clinic center in Macomb, IL. MCDONOUGH COUNTY HOSPITAL DISTRICT NPI is 1235755372. The provider is registered as an organization entity type.

The provider's business location address is:

515 E GRANT ST STE 213
MACOMB, IL
ZIP 61455-378
Phone: (309) 837-6937
Fax: (309) 837-1979

The provider's authorized official is William Murdock .
The authorized official title is Cfo and has the following contact phone number (563) 244-3511.

The CLIA number assigned to this NPI record is 14D2061125 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 6/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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