Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Parent organization
GRAHAM HOSPITAL ASSOCIATION
Other names
Graham Hospital Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAHAM HOSPITAL ASSOCIATION
Authorized official
JULIE REEDER (VP OF FINANCE/CFO)
(309) 647-5240
Entity
Organization
Contact information
Practice address
225 W WALNUT ST, CANTON, IL 61520-2443
(309) 647-4088
(309) 649-5198
Mailing address
210 W WALNUT ST, CANTON, IL 61520-2444
(309) 647-5240
(309) 649-5110
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2001246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9526
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
08/08/2006
Last updated
10/19/2017
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