# IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295940062
- **Authorized official:** KRISTINA ORRILL (OPERATIONS MANAGER)
- **Authorized official phone:** (618) 663-0547

## Contact information

- **Practice address:** 620 N MAIN ST, HOYLETON, IL 62803-2046
- **Practice address phone:** (618) 663-0547
- **Practice address fax:** (418) 787-0423
- **Mailing address:** 620 N MAIN ST, HOYLETON, IL 62803-2046
- **Mailing address phone:** (618) 663-0547
- **Mailing address fax:** (418) 787-0423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | NONE | IL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 01/25/2022