Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Active
Other names
Carle at Watseka
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY BROCKUS (CEO)
(217) 283-8540
Entity
Organization
Contact information
Practice address
1490 E WALNUT ST, SUITE C, WATSEKA, IL 60970-1806
(815) 432-8200
(815) 432-8201
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0004200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210046
WPS
IL
Enumeration date
10/10/2006
Last updated
05/12/2016
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