Organization
COMMUNITY HOSPITAL OF STAUNTON
Active
Other names
Community Hospital of Staunton Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SPOUR (CEO)
(618) 542-1089
Entity
Organization
Contact information
Practice address
402 N WOOD ST, STAUNTON, IL 62088-1439
(618) 635-4231
(618) 635-4216
Mailing address
400 N CALDWELL ST, STAUNTON, IL 62088-1173
(618) 635-2200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/16/2024
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