Organization
COMMUNITY HOSPITAL OF STAUNTON
Active
Other names
Community Clinic of Staunton
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SPOUR (PRESIDENT)
(618) 542-1089
Entity
Organization
Contact information
Practice address
325 N CALDWELL ST, STAUNTON, IL 62088-1421
(618) 635-2221
Mailing address
325 N CALDWELL ST, STAUNTON, IL 62088-1421
(618) 635-2221
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
12/28/2023
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