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Organization
COMMUNITY HOSPITAL OF STAUNTON
Active
Organization
COMMUNITY HOSPITAL OF STAUNTON
Active
Other names
Community Hospital of Staunton Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SPOUR (CEO)
(618) 542-1089
Entity
Organization
Contact information
Practice address
402 N WOOD ST, STAUNTON, IL 62088-1439
(618) 635-4231
(618) 635-4216
Mailing address
400 N CALDWELL ST, STAUNTON, IL 62088-1173
(618) 635-2200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/09/2024
Last updated
05/16/2024
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