JOHN T HALL M.D. NPI 1841405610

NPI Information

JOHN T HALL M.D. is a rural health clinic center in Benton, IL. JOHN T HALL M.D. NPI is 1841405610. The provider is registered as an organization entity type.
The provider Is Doing Business As Benton Rural Health Clinic.

The provider's business location address is:

401 E PARK ST
BENTON, IL
ZIP 62812-920
Phone: (618) 435-2505
Fax: (618) 438-6015

The provider's authorized official is Cathy D Lisenby .
The authorized official title is Office Manager and has the following contact phone number (618) 435-2505.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 4/20/2008.

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:

Other Identifiers

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

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