# MCDONOUGH COUNTY HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MDH Pediatric Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770100414
- **Authorized official:** WILLIAM MURDOCK (CFO)
- **Authorized official phone:** (563) 244-3511

## Contact information

- **Practice address:** 505 E GRANT ST STE 202, MACOMB, IL 61455-3373
- **Practice address phone:** (309) 833-1729
- **Practice address fax:** (309) 836-1779
- **Mailing address:** PO BOX 1179, MACOMB, IL 61455-5579
- **Mailing address phone:** (309) 836-1524
- **Mailing address fax:** (309) 836-1525

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 06/29/2020