Organization
KIRBY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE TENHOUSE (CEO)
(217) 762-1501
Entity
Organization
Contact information
Practice address
1111 N STATE ST, MONTICELLO, IL 61856-1151
(217) 762-2115
(217) 762-6165
Mailing address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-2115
(217) 762-1502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0269300001
IL
Other
Enumeration date
11/08/2005
Last updated
05/12/2014
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