Organization
LAWRENCE COUNTY MEMORIAL HOSPITAL
Active
Other names
Lawrence County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ATEN (BOARD CHAIRMAN)
(618) 843-8424
Entity
Organization
Contact information
Practice address
2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439-2085
(618) 943-1000
(618) 943-7223
Mailing address
2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439-2085
(618) 943-1000
(618) 943-7223
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
14Z344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005219
HEALTH ALLIANCE
IL
01
—
0212
BLUE CROSS BLUE SHILED
IL
01
—
108986
HEALTHLINK
IL
01
—
5115002
BLUE CROSS BLUE SHILED
IL
Enumeration date
08/25/2006
Last updated
10/24/2022
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