Organization
KEWANEE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BOWSER (CFO)
(309) 852-7522
Entity
Organization
Contact information
Practice address
1051 W SOUTH STREET, KEWANEE, IL 61443-9983
(309) 852-7500
(309) 852-7591
Mailing address
P.O. BOX 747, 1051 W SOUTH STREET, KEWANEE, IL 61443-9983
(309) 852-7500
(309) 852-7591
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0005538
IL
282NC0060X
Critical Access Hospital
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105
BCBS
—
Enumeration date
09/07/2006
Last updated
03/14/2014
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