Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REEDER (VP OF FINANCE/CFO)
(309) 647-5240
Entity
Organization
Contact information
Practice address
225 W WALNUT ST, CANTON, IL 61520-2443
(309) 647-4088
(309) 649-5198
Mailing address
210 W WALNUT ST, CANTON, IL 61520-2444
(309) 647-5240
(309) 649-5110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001445
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9832
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
08/08/2006
Last updated
10/19/2017
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