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Organization

PROCTOR COMMUNITY HOSPITAL

Active
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Organization

PROCTOR COMMUNITY HOSPITAL

Active
Other names
Proctor Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBORAH R. SIMON (PRESIDENT/CEO)
(309) 672-5928
Entity
Organization

Contact information

Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-1000
(309) 671-8265
Mailing address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 672-4813
(309) 671-8265

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0001925
IL
282N00000X
General Acute Care Hospital
1677264
IL

Other

Enumeration date
07/07/2005
Last updated
01/23/2015
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