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GRAHAM HOSPITAL ASSOCIATION NPI 1750527172


NPI Information

NPI: 1750527172
Provider Name: GRAHAM HOSPITAL ASSOCIATION

Doing Business As: GRAHAM MEDICAL GROUP LEWISTOWN

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D0877864

Address:
408 S. MAIN STREET
LEWISTOWN, IL
ZIP 61542
Phone: (309) 547-9700
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GRAHAM HOSPITAL ASSOCIATION is a rural health clinic center in Lewistown, IL. GRAHAM HOSPITAL ASSOCIATION NPI is 1750527172. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Graham Medical Group Lewistown.

The provider's business location address is:

408 S. MAIN STREET
LEWISTOWN, IL
ZIP 61542-563
Phone: (309) 547-9700
Fax: (309) 547-5926

The provider's authorized official is Julie Reeder .
The authorized official title is Vp Of Finance/cfo and has the following contact phone number (309) 647-5240.

The CLIA number assigned to this NPI record is 14D0877864 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 10/23/2018.


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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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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