# KEWANEE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kewanee Hospital Family Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598797193
- **Authorized official:** MR. JOHN BOWSER (CFO)
- **Authorized official phone:** (309) 852-7522

## Contact information

- **Practice address:** 1051 W SOUTH ST, KEWANEE, IL 61443-9983
- **Practice address phone:** (309) 852-7500
- **Practice address fax:** (309) 852-7591
- **Mailing address:** P.O. BOX 747, 1051 W SOUTH STREET, KEWANEE, IL 61443-9983
- **Mailing address phone:** (309) 852-7500
- **Mailing address fax:** (309) 852-7591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0005538 | IL | Yes |
| 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