Organization
CRAWFORD HOSPITAL DISTRICT
Active
Parent organization
CRAWFORD HOSPITAL DISTRICT
Other names
Crawford Hospital District DBA CMH Rural Health Oblong
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAWFORD HOSPITAL DISTRICT
Authorized official
MR. CHRIS BAUTISTA (PRACTICE MANAGEMENT OFFICER)
(618) 546-2460
Entity
Organization
Contact information
Practice address
1366 EAST 1050TH AVE, OBLONG, IL 62449-1426
(618) 592-3119
(618) 546-2648
Mailing address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 592-3119
(618) 546-2648
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143488
MEDICARE
IL
Enumeration date
12/01/2005
Last updated
06/24/2014
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