Organization
MENDOTA COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C. SEHRING (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
1401 EAST 12TH STREET, MENDOTA, IL 61342-9216
(815) 539-7461
(815) 539-1461
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0001537
IL
335E00000X
Prosthetic/Orthotic Supplier
0001537
IL
Other
Enumeration date
03/06/2007
Last updated
03/18/2024
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