Organization
MARION VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY LYNN MATHIS M.S.W. (COMMUNITY CARE CASE MANAGER)
(678) 997-5311
Entity
Organization
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 993-4194
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 993-4194
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
150012269
IL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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