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KEWANEE HOSPITAL NPI 1598797193


NPI Information

NPI: 1598797193
Provider Name: KEWANEE HOSPITAL

Doing Business As: KEWANEE HOSPITAL FAMILY HEALTH CLINIC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1051 W SOUTH ST
KEWANEE, IL
ZIP 61443
Phone: (309) 852-7500
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KEWANEE HOSPITAL is a medical specialty clinic center in Kewanee, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). KEWANEE HOSPITAL NPI is 1598797193. The provider is registered as an organization entity type.
The provider Is Doing Business As Kewanee Hospital Family Health Clinic.

The provider's business location address is:

1051 W SOUTH ST
KEWANEE, IL
ZIP 61443-983
Phone: (309) 852-7500
Fax: (309) 852-7591

The provider's authorized official is John Bowser .
The authorized official title is Cfo and has the following contact phone number (309) 852-7522.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 3/14/2014.


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
1261QM2500XClinic/CenterMedical SpecialtyNo
2261QR1300XClinic/CenterRural HealthNo
3261QR1300XClinic/CenterRural Health0005538ILLINOISNo
4261QM2500XClinic/CenterMedical Specialty0005538ILLINOISYes

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
1143445MEDICARE OSCAR/CERTIFICATIONILLINOIS

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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