# HAMMOND HENRY DIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAMMOND HENRY DIST HOSPITAL
- **Other names:** Hammond-Henry Hospital Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316698319
- **Legal business name:** HAMMOND HENRY DIST HOSPITAL
- **Authorized official:** JODIE L CRISWELL (VP OF FISCAL SERVICES)
- **Authorized official phone:** (309) 944-9103

## Contact information

- **Practice address:** 1001 DIVISION ST, ORION, IL 61273-7715
- **Practice address phone:** (309) 853-3677
- **Practice address fax:** (309) 520-2568
- **Mailing address:** 600 N COLLEGE AVE, GENESEO, IL 61254-1091
- **Mailing address phone:** (309) 944-9123
- **Mailing address fax:** (309) 944-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2022
- **Last updated:** 02/18/2026