Organization
ROCHELLE COMMUNITY HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS M DICKEY (PFS MANAGER)
(815) 562-2181
Entity
Organization
Contact information
Practice address
900 N 2ND ST, ROCHELLE, IL 61068-1764
(815) 562-2181
(815) 561-3121
Mailing address
900 N 2ND ST, ROCHELLE, IL 61068-1764
(815) 562-2181
(815) 561-3121
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
002022
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007115580
BLUE CROSS PROFESSIONAL BILLING
IL
01
—
256
BLUE CROSS
IL
01
—
L007047
TRICARE
IL
Enumeration date
04/19/2006
Last updated
04/09/2014
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