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Organization
KEWANEE HOSPITAL
Active
Organization
KEWANEE HOSPITAL
Active
Other names
Kewanee Hospital Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BOWSER (CFO)
(309) 852-7522
Entity
Organization
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443-9983
(309) 852-7500
(309) 852-7591
Mailing address
P.O. BOX 747, 1051 W SOUTH STREET, KEWANEE, IL 61443-9983
(309) 852-7500
(309) 852-7591
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0005538
IL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
0005538
IL
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
07/06/2006
Last updated
03/14/2014
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