Organization
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Active
Other names
Presence United Samaritans Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DOUGLAS CARTER (AMITA CFO)
(224) 373-2350
Entity
Organization
Contact information
Practice address
812 NORTH LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
(217) 477-2761
Mailing address
812 NORTH LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
(217) 477-2761
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0004853
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301332
—
KY
05
—
014640809
—
MO
05
—
0576736
—
IA
05
—
100251207-00
—
NE
05
—
142713105
—
AK
Enumeration date
05/16/2006
Last updated
12/29/2021
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