Organization
PROCTOR COMMUNITY HOSPITAL
Active
Parent organization
PROCTOR COMMUNITY HOSPITAL
Other names
Proctor Hospital Skilled Nursing
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCTOR COMMUNITY HOSPITAL
Authorized official
MS. DEBORAH R. SIMON (PRESIDENT/CEO)
(309) 672-5928
Entity
Organization
Contact information
Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-1000
(309) 671-8265
Mailing address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 672-4813
(309) 671-8265
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0001925
IL
314000000X
Skilled Nursing Facility
1677264
IL
Other
Enumeration date
01/25/2006
Last updated
01/23/2015
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