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Organization
MEMORIAL HOSPITAL OF CARBONDALE
Active
Organization
MEMORIAL HOSPITAL OF CARBONDALE
Active
Parent organization
SIH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIH
Authorized official
MRS. AMY MARIE SURBURG ANP-BC (NURSE PRACTITIONER, PRE-ANESTHESIA)
(618) 549-0721
Entity
Organization
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0431
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0431
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209008246
IL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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