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GRAHAM HOSPITAL ASSOCIATION NPI 1780321117


NPI Information

NPI: 1780321117
Provider Name: GRAHAM HOSPITAL ASSOCIATION

Doing Business As: GRAHAM MEDICAL GROUP MACOMB

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2281372

Address:
1630 E JACKSON ST
MACOMB, IL
ZIP 61455
Phone: (309) 647-0201
Get Directions

GRAHAM HOSPITAL ASSOCIATION is a family medicine in Macomb, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRAHAM HOSPITAL ASSOCIATION NPI is 1780321117. The provider is registered as an organization entity type.
The provider Is Doing Business As Graham Medical Group Macomb.

The provider's business location address is:

1630 E JACKSON ST
MACOMB, IL
ZIP 61455-530
Phone: (309) 647-0201

The provider's authorized official is Julie Reeder .
The authorized official title is Vice President Of Finance & Cfo and has the following contact phone number (309) 647-5240.

The CLIA number assigned to this NPI record is 14D2281372 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2022 and was last updated on 3/28/2023.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2207Q00000XFamily MedicineYes

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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