Organization
MASON DISTRICT HOSPITAL
Active
Organization
MASON DISTRICT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIE GANSON DPT (DIRECTOR OF REHAB SERVICES)
(309) 543-8578
Entity
Organization
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-8578
Mailing address
615 N PROMENADE ST, HAVANA, IL 62644-1243
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
056003638
IL
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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