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Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Other names
Iroquois Memorial Hospital and Resident Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J TILSTRA (CEO/PRESIDENT)
(815) 432-7777
Entity
Organization
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
0001107
IL
3416L0300X
Land Ambulance
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080050A
—
IN
Enumeration date
02/05/2008
Last updated
04/10/2026
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