MENDOTA COMMUNITY HOSPITAL NPI 1376673087

NPI Information

NPI: 1376673087
Provider Name: MENDOTA COMMUNITY HOSPITAL
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D0430934

Address:
1401 EAST 12TH STREET
MENDOTA, IL
ZIP 61342
Phone: (815) 539-7461
Get Directions

MENDOTA COMMUNITY HOSPITAL is a durable medical equipment medical supplies in Mendota, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MENDOTA COMMUNITY HOSPITAL NPI is 1376673087. The provider is registered as an organization entity type.

The provider's business location address is:

1401 EAST 12TH STREET
MENDOTA, IL
ZIP 61342-216
Phone: (815) 539-7461
Fax: (815) 539-1461

The provider's authorized official is Robert C. Sehring .
The authorized official title is Ceo and has the following contact phone number (309) 655-2850.

The CLIA number assigned to this NPI record is 14D0430934 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 3/18/2024.

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	332B00000X	Durable Medical Equipment & Medical Supplies		0001537	ILLINOIS	Yes
2	335E00000X	Prosthetic/Orthotic Supplier		0001537	ILLINOIS	No

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

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