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Organization
COMMUNITY HOSPITAL OF STAUNTON
Active
Organization
COMMUNITY HOSPITAL OF STAUNTON
Active
Other names
Community Clinic of Staunton
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SPOUR (PRESIDENT)
(618) 542-1089
Entity
Organization
Contact information
Practice address
325 N CALDWELL ST, STAUNTON, IL 62088-1421
(618) 635-2221
Mailing address
325 N CALDWELL ST, STAUNTON, IL 62088-1421
(618) 635-2221
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/13/2017
Last updated
12/28/2023
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