# COMMUNITY HOSPITAL OF STAUNTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Clinic of Staunton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508305418
- **Authorized official:** LARRY SPOUR (PRESIDENT)
- **Authorized official phone:** (618) 542-1089

## Contact information

- **Practice address:** 325 N CALDWELL ST, STAUNTON, IL 62088-1421
- **Practice address phone:** (618) 635-2221
- **Mailing address:** 325 N CALDWELL ST, STAUNTON, IL 62088-1421
- **Mailing address phone:** (618) 635-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 12/28/2023