# MARION VA HOSPITAL

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

## Provider details

- **NPI number:** 1497019095
- **Authorized official:** MRS. MICHELLE NICOLE BELTZ CRT (RESPIRATORY THERAPIST)
- **Authorized official phone:** (618) 997-5311

## Contact information

- **Practice address:** 705 PAWNEE DR, DU QUOIN, IL 62832-2557
- **Practice address phone:** (618) 997-5311
- **Mailing address:** 705 PAWNEE DR, DU QUOIN, IL 62832-2557
- **Mailing address phone:** (618) 997-5311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 194007504 | IL | Yes |

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 06/27/2012
