Organization
BROMENN HEALTHCARE, INC.
Active
Other names
ECH physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY CERMAK (VP/CFO)
(309) 268-2185
Entity
Organization
Contact information
Practice address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 467-4004
Mailing address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 467-4004
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0003574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801100
MEDICARE PART B
IL
Enumeration date
12/21/2007
Last updated
01/15/2010
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