Organization
FERRELL HOSPITAL COMMUNITY FOUNDATION
Active
Other names
locust street clinic
Organization subpart
No
Provider details
NPI number
Authorized official
H WILLIAM HARTLEY (CEO/ADMINISTRATOR)
(618) 473-3361
Entity
Organization
Contact information
Practice address
1407 LOCUST ST, ELDORADO, IL 62930-1629
(618) 273-3361
(618) 273-5501
Mailing address
1407 LOCUST ST, ELDORADO, IL 62930-1629
(618) 273-3361
(618) 273-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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