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Organization
MIDWEST MEDICAL CENTER
Active
Organization
MIDWEST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L BAUER (PRESIDENT/CEO)
(815) 777-1340
Entity
Organization
Contact information
Practice address
117 N MAIN ST, ELIZABETH, IL 61028-8800
(815) 858-2238
(815) 858-2239
Mailing address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
(815) 777-2560
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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