# KATHERINE SHAW BETHEA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KSB Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811987134
- **Authorized official:** MR. DAVID SCHREINER (ADMINISTRATOR)
- **Authorized official phone:** (815) 284-5710

## Contact information

- **Practice address:** 403 E 1ST ST, DIXON, IL 61021-3116
- **Practice address phone:** (815) 285-5738
- **Mailing address:** 101 W 2ND ST, SUITE 203, DIXON, IL 61021-3076
- **Mailing address phone:** (815) 284-5710
- **Mailing address fax:** (815) 285-5893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1001841 | IL | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 12/29/2022