Organization
MIDWEST MEDICAL CENTER
Active
Other names
Galena Stauss Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY R SHEAHEN (CHIEF EXECUTIVE OFFICER)
(815) 776-7266
Entity
Organization
Contact information
Practice address
215 SUMMIT ST, GALENA, IL 61036-1635
(815) 776-7255
(815) 776-7298
Mailing address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
(815) 776-7274
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0049718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362487178002
—
IL
Enumeration date
03/23/2010
Last updated
12/08/2010
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