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MCDONOUGH COUNTY HOSPITAL DISTRICT NPI 1992041511


NPI Information

NPI: 1992041511
Provider Name: MCDONOUGH COUNTY HOSPITAL DISTRICT

Doing Business As: BUSHNELL FAMILY PRACTICE

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

Specialization: Rural Health

Address:
155 W HAIL ST
BUSHNELL, IL
ZIP 61422
Phone: (309) 772-9444
Get Directions

MCDONOUGH COUNTY HOSPITAL DISTRICT is a rural health clinic center in Bushnell, IL. MCDONOUGH COUNTY HOSPITAL DISTRICT NPI is 1992041511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bushnell Family Practice.

The provider's business location address is:

155 W HAIL ST
BUSHNELL, IL
ZIP 61422-346
Phone: (309) 772-9444
Fax: (309) 772-9446

The provider's authorized official is Brian E Dietz .
The authorized official title is Ceo and has the following contact phone number (309) 833-4101.

The enumeration date for this NPI number is 12/31/2012 and was last updated on 10/17/2023.


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
1207Q00000XFamily MedicineILLINOISNo
2261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036062336MEDICAIDILLINOIS
25515957OTHERILLINOISBLUE CROSS BLUE SHIELD OF ILLINOIS
3148952OTHERILLINOISMEDICARE - RURAL HEALTH

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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