Organization
DECATUR MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D STONE JR. (PRESIDENT & CEO)
(217) 876-2114
Entity
Organization
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000471
IL
Other
Enumeration date
07/31/2015
Last updated
03/01/2016
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