# CRAWFORD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRAWFORD HOSPITAL DISTRICT
- **Other names:** Crawford Hospital District DBA CMH Rural Health Oblong
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790769073
- **Legal business name:** CRAWFORD HOSPITAL DISTRICT
- **Authorized official:** MR. CHRIS BAUTISTA (PRACTICE MANAGEMENT OFFICER)
- **Authorized official phone:** (618) 546-2460

## Contact information

- **Practice address:** 1366 EAST 1050TH AVE, OBLONG, IL 62449-1426
- **Practice address phone:** (618) 592-3119
- **Practice address fax:** (618) 546-2648
- **Mailing address:** 1000 N ALLEN ST, ROBINSON, IL 62454-1114
- **Mailing address phone:** (618) 592-3119
- **Mailing address fax:** (618) 546-2648

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 06/24/2014
