MASON HOSPITAL DISTRICT NPI 1780128512

NPI Information

NPI: 1780128512
Provider Name: MASON HOSPITAL DISTRICT

Doing Business As: MANITO MEDICAL ASSOCIATES

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

Specialization: Rural Health

Address:
1301 S EAST AVE
MANITO, IL
ZIP 61546
Phone: (309) 968-5311
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MASON HOSPITAL DISTRICT is a rural health clinic center in Manito, IL. MASON HOSPITAL DISTRICT NPI is 1780128512. The provider is registered as an organization entity type.
The provider Is Doing Business As Manito Medical Associates.

The provider's business location address is:

1301 S EAST AVE
MANITO, IL
ZIP 61546
Phone: (309) 968-5311

The provider's authorized official is Mary Layton .
The authorized official title is Director Of Clinic Operations and has the following contact phone number (309) 543-6600.

The CLIA number assigned to this NPI record is 14D2126598 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/14/2016.

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

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