# MCDONOUGH COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MDH Convenient Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336436765
- **Authorized official:** KENNETH BOYD JR. (CEO)
- **Authorized official phone:** (309) 833-4101

## Contact information

- **Practice address:** 1600 E JACKSON ST, MACOMB, IL 61455-2530
- **Practice address phone:** (309) 833-4101
- **Mailing address:** 525 E GRANT ST, MACOMB, IL 61455-3313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0001438 | IL | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011