HARRISBURG MEDICAL CENTER INC NPI 1649795659

NPI Information

  • NPI: 1649795659
  • Provider Name: HARRISBURG MEDICAL CENTER INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: HMC CLINIC AT MARION
  • CLIA Number: 14D2032441
  • Address: 3106 OUTER DR
    MARION, IL
    ZIP 62959
  • Phone: (618) 997-4332

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NPI Details

HARRISBURG MEDICAL CENTER INC is a rural health clinic center in Marion, IL. HARRISBURG MEDICAL CENTER INC NPI is 1649795659. The provider is registered as an organization entity type.
The provider Is Doing Business As Hmc Clinic At Marion.

The provider's business location address is:

3106 OUTER DR
MARION, IL
ZIP 62959-270
Phone: (618) 997-4332
Fax: (618) 997-6205

The provider's authorized official is Warren P Ladner .
The authorized official title is Senior Vp Chief Financial Officer and has the following contact phone number (618) 457-5200.

The CLIA number assigned to this NPI record is 14D2032441 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 1/7/2025.

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
1261QR1300XClinic/CenterRural HealthYes

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: 3/30/2025

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