Organization
ST. MARGARET'S HOSPITAL
Active
Parent organization
ST MARGARET'S HOSPITAL
Other names
SMH GRANVILLE CLINIC, St. Margarets Health Granville Clin
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARGARET'S HOSPITAL
Authorized official
JEANNETTE MARIE KNEEBONE DELEGATED OFFICIAL (PATIENT ACCOUNTS DIRECTOR)
(815) 664-1477
Entity
Organization
Contact information
Practice address
309 S MCCOY ST, GRANVILLE, IL 61326-9333
(815) 339-6245
Mailing address
221 W SAINT PAUL ST, SPRING VALLEY, IL 61362-1907
(815) 664-1477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
10/23/2019
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