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Organization

KATHERINE SHAW BETHEA HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUSTIN BRUCE FRAZIER (CFO)
(815) 285-5513
Entity
Organization

Contact information

Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000497
IL

Other

Enumeration date
09/19/2005
Last updated
12/29/2022
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