# DECATUR MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DECATUR MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588751234
- **Legal business name:** DECATUR MEMORIAL HOSPITAL
- **Authorized official:** MR. TIMOTHY D STONE JR. (SENIOR VP & CFO)
- **Authorized official phone:** (217) 876-2107

## Contact information

- **Practice address:** 2870 N MAIN ST, DECATUR MEMORIAL HOME CARE, DECATUR, IL 62526-3234
- **Practice address phone:** (217) 876-4600
- **Practice address fax:** (217) 876-4660
- **Mailing address:** 2300 N. EDWARD ST., DECATUR, IL 62526
- **Mailing address phone:** (217) 876-8121
- **Mailing address fax:** (217) 876-2261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2000354 | IL | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 05/14/2019