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Organization
COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC
Active
Organization
COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC
Active
Other names
Bed Wing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT L STAHL (PROJECTS COORDINATOR)
(309) 734-1431
Entity
Organization
Contact information
Practice address
1000 W HARLEM AVENUE, MONMOUTH, IL 61462-1099
(309) 734-3141
(309) 734-3029
Mailing address
1000 W HARLEM AVENUE, MONMOUTH, IL 61462-1099
(309) 734-3141
(309) 734-3029
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14 5528
MEDICARE PART A
IL
Enumeration date
01/13/2006
Last updated
08/22/2020
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