Organization
HARDIN COUNTY GENERAL HOSPITAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBY D WILLIAMS (ADMINISTRATOR)
(618) 285-6634
Entity
Organization
Contact information
Practice address
6 FERRELL ROAD, ROSICLARE, IL 62982
(618) 285-2800
(618) 285-2804
Mailing address
6 FERRELL ROAD, ROSICLARE, IL 62982
(618) 285-2800
(618) 285-2804
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000901
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247
BLUE CROSS PROVIDER NO.
IL
Enumeration date
10/23/2006
Last updated
11/25/2008
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