# IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Iroquois Memorial Hospital and Resident Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972781698
- **Authorized official:** MR. MICHAEL J TILSTRA (CEO/PRESIDENT)
- **Authorized official phone:** (815) 432-7777

## Contact information

- **Practice address:** 200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
- **Practice address phone:** (815) 432-5841
- **Practice address fax:** (815) 432-7821
- **Mailing address:** 200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
- **Mailing address phone:** (815) 432-5841
- **Mailing address fax:** (815) 432-7821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 0001107 | IL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 04/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200080050A | — | IN |