# COMMUNITY HOSPITAL OF STAUNTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Hospital of Staunton Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063260545
- **Authorized official:** LARRY SPOUR (CEO)
- **Authorized official phone:** (618) 542-1089

## Contact information

- **Practice address:** 402 N WOOD ST, STAUNTON, IL 62088-1439
- **Practice address phone:** (618) 635-4231
- **Practice address fax:** (618) 635-4216
- **Mailing address:** 400 N CALDWELL ST, STAUNTON, IL 62088-1173
- **Mailing address phone:** (618) 635-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 05/16/2024