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Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Other names
Graham Medical Group Elmwood
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REEDER (VP OF FINANCE/CFO)
(309) 647-5240
Entity
Organization
Contact information
Practice address
1024 N. MAGNOLIA ST., ELMWOOD, IL 61529
(309) 647-0201
(309) 647-8613
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 647-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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