Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Other names
Graham Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAIGE FAHNESTOCK (CREDENTIALING SPECIALIST)
(309) 647-5240
Entity
Organization
Contact information
Practice address
126 N 5TH AVE, CANTON, IL 61520-1654
(309) 647-0201
Mailing address
126 N 5TH AVE, CANTON, IL 61520-1654
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
03/27/2023
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