Organization
HARRISBURG MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN P LADNER (SR VP & CFO)
(618) 457-5200
Entity
Organization
Contact information
Practice address
100 DR WARREN TUTTLE DRIVE, HARRISBURG, IL 62946-0428
(618) 253-7671
(618) 252-7274
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000521
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C15615
RAILROAD MEDICARE
—
Enumeration date
03/14/2007
Last updated
05/03/2024
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