# GRAHAM HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Graham Medical Group-Canton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205072626
- **Authorized official:** JULIE REEDER (VP OF FINANCE/CFO)
- **Authorized official phone:** (309) 647-5240

## Contact information

- **Practice address:** 180 S MAIN ST, CANTON, IL 61520-2608
- **Practice address phone:** (309) 647-0201
- **Practice address fax:** (309) 649-5302
- **Mailing address:** 180 S MAIN ST, CANTON, IL 61520-2608
- **Mailing address phone:** (309) 647-0201
- **Mailing address fax:** (309) 649-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 10/23/2018