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Organization
DEACONESS ILLINOIS UNION COUNTY HOSPITAL INC
Active
Organization
DEACONESS ILLINOIS UNION COUNTY HOSPITAL INC
Active
Other names
Deaconess Illinois Union County Family Clinic, Deaconess Illinois Rural Health Clinic Anna, Union County Hospital Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LIPE (CFO)
(618) 998-7020
Entity
Organization
Contact information
Practice address
517 N MAIN ST RM 22, ANNA, IL 62906-1668
(618) 833-2295
(618) 833-9058
Mailing address
PO BOX 34141, BELFAST, ME 04915-0619
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/18/2022
Last updated
08/07/2024
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