Organization
MASON DISTRICT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY WOLIN (CEO)
(309) 543-8575
Entity
Organization
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-8578
Mailing address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-8578
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
056008421
IL
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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