# MASON HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mason City Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932166931
- **Authorized official:** MR. ROBERT J STOLBA (CFO)
- **Authorized official phone:** (309) 543-8505

## Contact information

- **Practice address:** 122 E ELM ST, MASON CITY, IL 62664-1410
- **Practice address phone:** (309) 543-8564
- **Practice address fax:** (309) 543-2089
- **Mailing address:** 615 N PROMENADE ST, P O BOX 530, HAVANA, IL 62644-1015
- **Mailing address phone:** (309) 543-8564
- **Mailing address fax:** (309) 543-2089

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 12/10/2010