Organization
HAMILTON MEMORIAL HOSPITAL DISTRICT
Active
Other names
Hamilton Memorial Hospital Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN EPPERSON (CFO)
(618) 643-2361
Entity
Organization
Contact information
Practice address
112 S WASHINGTON ST, MC LEANSBORO, IL 62859-1147
(618) 643-4415
(618) 643-4508
Mailing address
611 S MARSHALL AVE, PO BOX 429, MC LEANSBORO, IL 62859-1213
(618) 643-4415
(618) 643-4508
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1001486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9705
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/25/2006
Last updated
08/01/2025
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