Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Other names
IMH Milford Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L SMITH (COO)
(815) 432-7967
Entity
Organization
Contact information
Practice address
34 E JONES ST, MILFORD, IL 60953-1046
(815) 889-4241
(815) 889-4244
Mailing address
34 E JONES ST, MILFORD, IL 60953-1046
(815) 889-4241
(815) 889-4244
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003815085
BC/BS OF IL
IL
Enumeration date
07/16/2006
Last updated
01/17/2017
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