Organization
PANA COMMUNITY HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANNE ADE (PRACTICE MANAGER)
(217) 562-2143
Entity
Organization
Contact information
Practice address
217 S LOCUST ST, PANA, IL 62557-1689
(217) 562-2143
(217) 562-2251
Mailing address
217 S LOCUST ST, PANA, IL 62557-1605
(217) 562-2143
(217) 562-2251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
09/04/2024
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