# PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presence Covenant Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184676579
- **Authorized official:** RICHARD DOUGLAS CARTER (AMITA CFO)
- **Authorized official phone:** (224) 273-2350

## Contact information

- **Practice address:** 1400 W PARK ST, URBANA, IL 61801-9901
- **Practice address phone:** (217) 443-5000
- **Practice address fax:** (217) 477-2761
- **Mailing address:** 1400 W PARK ST, URBANA, IL 61801-9901
- **Mailing address phone:** (217) 443-5000
- **Mailing address fax:** (217) 477-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 0004861 | IL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 12/28/2021