# MEMORIAL HOSPITAL OF CARBONDALE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063448827
- **Authorized official:** KATHRYN A WHITESIDE OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (618) 833-1506

## Contact information

- **Practice address:** 515 E. VIENNA SUITE 1, ANNA, IL 62906
- **Practice address phone:** (618) 833-1506
- **Mailing address:** 735 CASPER CHURCH ROAD, COBDEN, IL 62920
- **Mailing address phone:** (618) 833-8227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | IL | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 08/22/2020