Organization
SCHUYLER COUNTY HOSPITAL DISTRICT
Active
Parent organization
SCHUYLER COUNTY HOSPITAL DISTRICT
Other names
Community Medical Clinic of Table Grove
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHUYLER COUNTY HOSPITAL DISTRICT
Authorized official
TAMRA S GADBERRY (CFO)
(217) 322-5296
Entity
Organization
Contact information
Practice address
130 N BROADWAY ST, TABLE GROVE, IL 61482-9593
(309) 758-5070
Mailing address
238 S CONGRESS ST, RUSHVILLE, IL 62681-1465
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2139536
CLIA
IL
Enumeration date
01/29/2018
Last updated
11/09/2020
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