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MENDOTA COMMUNITY HOSPITAL NPI 1407872997


NPI Information

NPI: 1407872997
Provider Name: MENDOTA COMMUNITY HOSPITAL

Other Name: PHYSICIAN SERVICES OF MCH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1401 EAST 12TH STREET
MENDOTA, IL
ZIP 61342
Phone: (815) 539-7461
Get Directions

MENDOTA COMMUNITY HOSPITAL is a family medicine in Mendota, 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. MENDOTA COMMUNITY HOSPITAL NPI is 1407872997. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Physician Services Of Mch.

The provider's business location address is:

1401 EAST 12TH STREET
MENDOTA, IL
ZIP 61342-216
Phone: (815) 539-7461
Fax: (815) 538-5516

The provider's authorized official is Robert C. Sehring .
The authorized official title is Ceo, Osf Healthcare System and has the following contact phone number (306) 655-2850.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 3/18/2024.


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 Medicine0001537ILLINOISYes
2207X00000XOrthopaedic Surgery0001537ILLINOISNo
3208600000XSurgery0001537ILLINOISNo
4363A00000XPhysician Assistant0001537ILLINOISNo
5363L00000XNurse Practitioner0001537ILLINOISNo

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
1CI2549OTHERRAILROAD MEDICARE

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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