# HOOPESTON COMMUNITY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CARLE FOUNDATION
- **Other names:** CARLE MATTOON ON HURST
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750785986
- **Legal business name:** THE CARLE FOUNDATION
- **Authorized official:** MR. HARRY BROCKUS (CEO)
- **Authorized official phone:** (217) 283-8540

## Contact information

- **Practice address:** 2512 HURST DR, MATTOON, IL 61938-9200
- **Practice address phone:** (217) 258-5900
- **Mailing address:** 611 W PARK ST, URBANA, IL 61801-2500
- **Mailing address phone:** (217) 383-3311
- **Mailing address fax:** (217) 367-2827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 10/17/2014
