Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Active
Other names
Charlotte Ann Russell Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BROCKUS (CEO)
(217) 283-8540
Entity
Organization
Contact information
Practice address
801 E ORANGE ST, HOOPESTON, IL 60942-1802
(214) 283-5644
(217) 283-7432
Mailing address
701 E ORANGE ST, HOOPESTON, IL 60942-1801
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0004200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9222940
BCBS
IL
Enumeration date
06/09/2006
Last updated
05/12/2016
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