Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REEDER (VP OF FINANCE/CFO)
(309) 647-5240
Entity
Organization
Contact information
Practice address
101 S MAIN ST, CANTON, IL 61520-2607
(309) 647-5240
(309) 649-5110
Mailing address
101 S MAIN ST, CANTON, IL 61520-2607
(309) 647-5240
(309) 649-5110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000310
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002915611
BLUE CROSS BLUE SHIELD IL
IL
01
—
016564
HEALTH ALLIANCE
IL
Enumeration date
08/10/2006
Last updated
10/19/2017
Update your record
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