# PROCTOR COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROCTOR HOSPITAL
- **Other names:** Proctor Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487624318
- **Legal business name:** PROCTOR HOSPITAL
- **Authorized official:** MR. STEPHEN M. CIRONE (REGIONAL MGR REIMB/REV RECOGNITION)
- **Authorized official phone:** (309) 672-4813

## Contact information

- **Practice address:** 5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
- **Practice address phone:** (309) 691-1000
- **Mailing address:** 5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
- **Mailing address phone:** (309) 691-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1009695 | IL | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 04/24/2019