Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
McDonough District Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R HOPPER (PRESIDENT, CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1525
Mailing address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
0001438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005519702
BLUE CROSS
IL
Enumeration date
09/15/2008
Last updated
01/07/2009
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