Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BOHLMANN (CEO)
(815) 432-7735
Entity
Organization
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0001107
IL
Other
Enumeration date
10/24/2006
Last updated
05/27/2015
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