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Organization

COMMUNITY MEDICAL CENTER OF WESTERN ILLINOIS INC

Active
Other names
Bed Wing
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRETT L STAHL (PROJECTS COORDINATOR)
(309) 734-1431
Entity
Organization

Contact information

Practice address
1000 W HARLEM AVENUE, MONMOUTH, IL 61462-1099
(309) 734-3141
(309) 734-3029
Mailing address
1000 W HARLEM AVENUE, MONMOUTH, IL 61462-1099
(309) 734-3141
(309) 734-3029

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14 5528
MEDICARE PART A
IL
Enumeration date
01/13/2006
Last updated
08/22/2020
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