Organization
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Active
Other names
Presence Covenant Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DOUGLAS CARTER (AMITA CFO)
(224) 273-2350
Entity
Organization
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-9901
(217) 443-5000
(217) 477-2761
Mailing address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 443-5000
(217) 477-2761
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0004861
IL
Other
Enumeration date
05/16/2006
Last updated
12/29/2021
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