# MASON HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MASON DISTRICT HOSp HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265548010
- **Authorized official:** MR. HARRY WOLIN (CEO)
- **Authorized official phone:** (309) 543-4431

## Contact information

- **Practice address:** 741 E LAUREL AVE, HAVANA, IL 62644-1551
- **Practice address phone:** (309) 543-6137
- **Practice address fax:** (309) 543-4442
- **Mailing address:** 615 N. PROMENADE, HAVANA, IL 62644-0530
- **Mailing address phone:** (309) 543-6137
- **Mailing address fax:** (309) 543-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 001002088 | IL | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 03/12/2012
