# KATHERINE SHAW BETHEA HOSPITAL

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

## Provider details

- **NPI number:** 1427043546
- **Authorized official:** AUSTIN BRUCE FRAZIER (CFO)
- **Authorized official phone:** (815) 285-5521

## Contact information

- **Practice address:** 403 E 1ST ST, DIXON, IL 61021-3116
- **Practice address phone:** (815) 288-5521
- **Practice address fax:** (815) 285-5859
- **Mailing address:** PO BOX 841330, KANSAS CITY, MO 64184-1330
- **Mailing address phone:** (816) 201-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000497 | IL | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 12/29/2022