Organization
KEWANEE HOSPITAL
Active
Other names
HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE BERRY (BUSINESS OFC MANAGER)
(309) 852-7540
Entity
Organization
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7900
Mailing address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002
IL
251E00000X
Home Health Agency
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9874
BCBS
—
Enumeration date
10/04/2006
Last updated
07/21/2022
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