Organization
PROCTOR COMMUNITY HOSPITAL
Active
Parent organization
PROCTOR HOSPITAL
Other names
Proctor Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCTOR HOSPITAL
Authorized official
MR. STEPHEN M. CIRONE (REGIONAL MGR REIMB/REV RECOGNITION)
(309) 672-4813
Entity
Organization
Contact information
Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-1000
Mailing address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1009695
IL
Other
Enumeration date
01/24/2006
Last updated
04/24/2019
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