# MARION VAMC

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

## Provider details

- **NPI number:** 1598095036
- **Authorized official:** MS. AMY LYNN MATHIS M.S.W. (COMMUNITY CARE CASE MANAGER)
- **Authorized official phone:** (678) 997-5311

## Contact information

- **Practice address:** 2401 W MAIN ST, MARION, IL 62959-1188
- **Practice address phone:** (618) 997-5311
- **Practice address fax:** (618) 993-4194
- **Mailing address:** 2401 W MAIN ST, MARION, IL 62959-1188
- **Mailing address phone:** (618) 997-5311
- **Mailing address fax:** (618) 993-4194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 150012269 | IL | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 01/06/2010