Organization
KATHERINE SHAW BETHEA HOSPITAL-DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON FARRELL (VICE PRESIDENT OF FINANCE)
(815) 285-5511
Entity
Organization
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000497
IL
Other
Enumeration date
09/22/2005
Last updated
08/22/2020
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