Organization
COUNTY OF MERCER HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED ROGALSKI (CEO)
(309) 582-5301
Entity
Organization
Contact information
Practice address
409 NW 9TH AVE, ALEDO, IL 61231-1258
(309) 582-5301
(309) 582-3744
Mailing address
409 NW 9TH AVE, ALEDO, IL 61231-1258
(309) 582-5301
(309) 582-3744
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0003772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006615001
BLUE SHIELD
IL
01
—
0194
BLUE CROSS
IL
Enumeration date
07/26/2005
Last updated
12/09/2010
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