Organization
HAMMOND HENRY DIST HOSPITAL
Active
Other names
HAMMOND HENRY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODIE CRISWELL (CFO)
(309) 944-6431
Entity
Organization
Contact information
Practice address
600 N COLLEGE AVE, GENESEO, IL 61254-1007
(309) 944-6431
(309) 520-2562
Mailing address
600 N COLLEGE AVE, GENESEO, IL 61254-1091
(309) 944-6431
(309) 944-9299
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0000893
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803220
MEDICARE PART B GROUP NUMBER
IL
Enumeration date
08/24/2005
Last updated
02/18/2026
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