Organization
IROQUOIS MEMORIAL HOSPITAL
Active
Other names
IMH Sheldon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN O LEURCK (CEO)
(815) 432-7736
Entity
Organization
Contact information
Practice address
160 E GROVE ST, SHELDON, IL 60966
(815) 429-3314
(815) 429-3490
Mailing address
160 E GROVE, SHELDON, IL 60966
(815) 429-3314
(815) 429-3490
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003832005
BLUS CROSS BLUE SHIELD IL
IL
Enumeration date
07/19/2006
Last updated
08/22/2020
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