Organization
DECATUR MEMORIAL HOSPITAL
Active
Parent organization
DECATUR MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
DECATUR MEMORIAL HOSPITAL
Authorized official
MR. TIMOTHY D STONE JR. (SENIOR VP & CFO)
(217) 876-2107
Entity
Organization
Contact information
Practice address
2870 N MAIN ST, DECATUR MEMORIAL HOME CARE, DECATUR, IL 62526-3234
(217) 876-4600
(217) 876-4660
Mailing address
2300 N. EDWARD ST., DECATUR, IL 62526
(217) 876-8121
(217) 876-2261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2000354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149441
HEALTHLINK
IL
01
—
9688
BLUECROSS
IL
01
—
9698
BLUE CROSS
IL
05
—
=========
—
IL
Enumeration date
10/06/2006
Last updated
05/14/2019
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