Organization
GALESBURG HOSPITAL CORPORATION
Active
Other names
Galesburg Cottage Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
695 N KELLOGG ST, GALESBURG, IL 61401-2807
(309) 343-8131
(309) 343-2393
Mailing address
PO BOX 504047, SAINT LOUIS, MO 63150-4047
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0005330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000982
HEALTH ALLIANCE
—
01
—
115918
HEALTHLINK
—
01
—
50280
BCBS
—
01
—
A6140100
JOHN DEERE
—
Enumeration date
01/30/2006
Last updated
04/26/2016
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