Organization
SWEDISHAMERICAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A DEWANE (VP FINANCE)
(779) 696-4009
Entity
Organization
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 391-7277
(815) 391-7320
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 391-7277
(815) 391-7320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0002725
IL
235Z00000X
Speech-Language Pathologist
0002725
IL
273R00000X
Psychiatric Hospital Unit
0002725
IL
273Y00000X
Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
0002725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000236800
—
ID
05
—
000680589X
—
GA
05
—
010565109
—
MO
05
—
01332238
—
KY
05
—
0902163
—
IA
05
—
091841500
—
FL
05
—
100034030A
—
IN
05
—
100101640A
—
KS
05
—
1008358
—
MA
05
—
108754105
—
AK
05
—
304900699
—
MI
05
—
404900705
—
MI
05
—
666847000
—
MN
05
—
95006284
—
CO
05
—
XHSP33144IP
—
CA
Enumeration date
12/11/2006
Last updated
07/24/2023
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