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Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Other names
Graham Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAIGE FAHNESTOCK (CREDENTIALING SPECIALIST)
(309) 647-5240
Entity
Organization
Contact information
Practice address
126 N 5TH AVE, CANTON, IL 61520-1654
(309) 647-0201
Mailing address
126 N 5TH AVE, CANTON, IL 61520-1654
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/04/2022
Last updated
03/27/2023
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