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Organization
HSHS PRAIRIE, INC
Active
Organization
HSHS PRAIRIE, INC
Active
Parent organization
HSHS PRAIRIE, INC
Other names
HSHS Prairie Primary Care - Dieterich, HSHS Medical Group Family Medicine - Dieterich
Organization subpart
Yes
Provider details
NPI number
Legal business name
HSHS PRAIRIE, INC
Authorized official
HEATH M. ROBERTS (PRESIDENT)
(217) 492-9648
Entity
Organization
Contact information
Practice address
207 S MAIN ST, DIETERICH, IL 62424-1128
(217) 925-5730
Mailing address
3051 HOLLIS DR FL 2, SPRINGFIELD, IL 62704-7450
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/28/2022
Last updated
10/15/2026
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